Healthcare Provider Details

I. General information

NPI: 1235131871
Provider Name (Legal Business Name): RAMON TORRES DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/12/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 AVE LUIS MUNOZ RIVERA SUR
CAYEY PR
00736
US

IV. Provider business mailing address

PO BOX 373487
CAYEY PR
00737-3487
US

V. Phone/Fax

Practice location:
  • Phone: 787-738-3478
  • Fax:
Mailing address:
  • Phone: 787-738-3478
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number573
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: