Healthcare Provider Details

I. General information

NPI: 1619079613
Provider Name (Legal Business Name): MANUEL A TORRECH DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2006
Last Update Date: 06/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 AVE BARBOSA
CATANO PR
00962-4783
US

IV. Provider business mailing address

URB PRADERA ST 19 AM 32
TOA BAJA PR
00949
US

V. Phone/Fax

Practice location:
  • Phone: 787-275-1840
  • Fax: 787-275-1936
Mailing address:
  • Phone: 787-753-7112
  • Fax: 787-274-8968

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number1653
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: