Individual
DIANA M TORRES FAJARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
9546 CALLE DIAZ WAY APT 421, CAROLINA, PR 00979
(787) 525-5737
Mailing address
9546 CALLE DIAZ WAY APT 421, CAROLINA, PR 00979
(787) 525-5737
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
61819
FL
183500000X
Pharmacist
6812
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61819
FLORIDA DEPARTMENT OF HEALTH - BOARD OF PHARMACY
FL
01
—
6812
PUERTO RICO PHARMACIST LICENSE
PR
Enumeration date
11/05/2020
Last updated
06/16/2021
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