Healthcare Provider Details

I. General information

NPI: 1750186912
Provider Name (Legal Business Name): TORRECH DENTAL SUITE PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2025
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 CARR 2
VEGA ALTA PR
00692-6069
US

IV. Provider business mailing address

1500 AVE SAN IGNACIO APT 19
SAN JUAN PR
00921-4756
US

V. Phone/Fax

Practice location:
  • Phone: 787-231-7937
  • Fax:
Mailing address:
  • Phone: 787-381-4183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. RAFAEL ADOLFO TORRECH SANTOS
Title or Position: OWNER/DENTIST
Credential: DMD
Phone: 787-381-4183