Provider Demographics
NPI:1871547190
Name:TORRES, CARLOS (RPH)
Entity type:Individual
Prefix:
First Name:CARLOS
Middle Name:
Last Name:TORRES
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1857 WALTON AVE
Mailing Address - Street 2:APT. 32A
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10453-6230
Mailing Address - Country:US
Mailing Address - Phone:212-686-7500
Mailing Address - Fax:212-951-5451
Practice Address - Street 1:423 E 23RD ST
Practice Address - Street 2:PHARMACY /119/
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-5011
Practice Address - Country:US
Practice Address - Phone:212-686-7500
Practice Address - Fax:212-951-5451
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY040363183500000X
PR003762183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist