MEDICARE: LUZ IRAIDA TORRES FLORES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	4121	PR

General Provider Information

NPI Number	:	1922966910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUZ IRAIDA TORRES FLORES

Provider Business Mailing Address
First Line	:	1575 AVE MUNOZ RIVERA # 221
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00717-0211
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	917 AVE TITO CASTRO
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00716-4717
Country	:	US
Telephone Number	:	787-843-4185
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2026
Last Update Date	:	01/10/2026

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