MEDICARE: DR. CHANTAL CRUZ TORIO DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	22DI02921200	NJ

General Provider Information

NPI Number	:	1760157135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHANTAL CRUZ TORIO DDS

Provider Business Mailing Address
First Line	:	190 LEWIS ST APT 180
Second Line	:
City	:	RAHWAY
State	:	NJ
Zip	:	07065-5079
Country	:	US
Telephone Number	:	848-219-2017
Fax Number	:

Provider Business Practice Location Address
First Line	:	5008 WOODBRIDGE AVE
Second Line	:
City	:	EDISON
State	:	NJ
Zip	:	08837-3303
Country	:	US
Telephone Number	:	732-661-1800
Fax Number	:	732-661-1813

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2021
Last Update Date	:	08/14/2025

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