Provider Demographics
NPI:1154512192
Name:TORRADO, MARCO ANTONIO (DMD,MS)
Entity Type:Individual
Prefix:DR
First Name:MARCO
Middle Name:ANTONIO
Last Name:TORRADO
Suffix:
Gender:M
Credentials:DMD,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:STATE ROUTE #2, KM 87.7,AVE.PABLO J. AGUILAR,BO. PUEBLO
Mailing Address - Street 2:BOX 1848
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659-1848
Mailing Address - Country:US
Mailing Address - Phone:787-262-5800
Mailing Address - Fax:787-262-5900
Practice Address - Street 1:STATE ROUTE #2, KM 87.7, AVE.PABLO J. AGUILAR
Practice Address - Street 2:BO.PUEBLO
Practice Address - City:HATILLO
Practice Address - State:PR
Practice Address - Zip Code:00659-1848
Practice Address - Country:US
Practice Address - Phone:787-262-5800
Practice Address - Fax:787-262-5900
Is Sole Proprietor?:No
Enumeration Date:2007-08-06
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR27061223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics