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General NPI Number Information
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NPI Number | 1710082151
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Entity Type | Organization
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Legal Business Name | CLINICA DENTAL TORRES FERNANDEZ LLC
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 05/22/2020
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Provider Practice Location Address
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Address Line | URB. SAGRADO CORAZON # 430 AVE. SAN CLAUDIO
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City | SAN JUAN
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State | PR
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Zip | 00926-4222
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Country | US
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Telephone | 787-761-0888
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Fax | 787-760-2195
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Provider Business Mailing Address
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Address Line | URB. SAGRADO CORAZON # 430 AVE. SAN CLAUDIO
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City | SAN JUAN
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State | PR
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Zip | 00926-4222
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Country | US
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Telephone | 787-761-0888
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Fax | 787-760-2195
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Authorized Official
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Title or Position | DENTIST OWNER
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Name | DR. GILBERTO TORRES
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Credential | DMD
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Telephone | 787-615-1932
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 1249
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 1621
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2509
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License Number State | PR
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Taxonomy #4
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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