MEDICARE: ENDODONCIA PR LLC

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	1223E0200X	Endodontics

General Provider Information

NPI Number	:	1245169663
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENDODONCIA PR LLC

Provider Business Mailing Address
First Line	:	78 PARQUE DEL ORIENTE
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00926-6523
Country	:	US
Telephone Number	:	787-215-2625
Fax Number	:

Provider Business Practice Location Address
First Line	:	78 PARQUE DEL ORIENTE
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00926-6523
Country	:	US
Telephone Number	:	787-215-2625
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. ADRIAN J TORRES
Credential	:	DMD
Telephone Number	:	787-215-2625

Provider Enumeration Date	:	05/14/2026
Last Update Date	:	05/14/2026

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Directions to “ENDODONCIA PR LLC ” Practice Location

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