Healthcare Provider Details

I. General information

NPI: 1245169663
Provider Name (Legal Business Name): ENDODONCIA PR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

78 PARQUE DEL ORIENTE
SAN JUAN PR
00926-6523
US

IV. Provider business mailing address

78 PARQUE DEL ORIENTE
SAN JUAN PR
00926-6523
US

V. Phone/Fax

Practice location:
  • Phone: 787-215-2625
  • Fax:
Mailing address:
  • Phone: 787-215-2625
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VIII. Authorized Official

Name: DR. ADRIAN J TORRES
Title or Position: DOCTOR
Credential: DMD
Phone: 787-215-2625