Provider Demographics
NPI:1356321137
Name:CLINICA DENTAL DE JONG-TORRES
Entity Type:Organization
Organization Name:CLINICA DENTAL DE JONG-TORRES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:TORRES-PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:787-829-5275
Mailing Address - Street 1:PO BOX 40
Mailing Address - Street 2:
Mailing Address - City:ADJUNTAS
Mailing Address - State:PR
Mailing Address - Zip Code:00601-0040
Mailing Address - Country:US
Mailing Address - Phone:787-829-5275
Mailing Address - Fax:787-829-5275
Practice Address - Street 1:17 CALLE BARBOSA
Practice Address - Street 2:
Practice Address - City:ADJUNTAS
Practice Address - State:PR
Practice Address - Zip Code:00601-2210
Practice Address - Country:US
Practice Address - Phone:787-829-5275
Practice Address - Fax:787-829-5275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty