Healthcare Provider Details

I. General information

NPI: 1508297920
Provider Name (Legal Business Name): MARIA J. TORRES BA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2013
Last Update Date: 12/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE NUNEZ ROMEU 55
CAYEY PR
00736
US

IV. Provider business mailing address

TURABO CLUSTERS SUITE 224
CAGUAS PR
00727
US

V. Phone/Fax

Practice location:
  • Phone: 787-557-4434
  • Fax: 781-738-1800
Mailing address:
  • Phone: 787-557-4434
  • Fax: 787-738-1800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code126800000X
TaxonomyDental Assistant
License Number002459
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: