MEDICARE: MATTHEW ROBERT TORRES MD, DDS

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	39834	TX

General Provider Information

NPI Number	:	1073928859
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW ROBERT TORRES MD, DDS

Provider Business Mailing Address
First Line	:	4499 MEDICAL DR STE 190
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3768
Country	:	US
Telephone Number	:	210-614-3915
Fax Number	:

Provider Business Practice Location Address
First Line	:	4499 MEDICAL DR STE 190
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3768
Country	:	US
Telephone Number	:	210-614-3915
Fax Number	:

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

Provider Enumeration Date	:	06/30/2014
Last Update Date	:	01/07/2025

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