Provider Demographics
NPI:1376510727
Name:TORRES-RIVERA, ROLANDO (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROLANDO
Middle Name:
Last Name:TORRES-RIVERA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:522 CALLE EXT S
Mailing Address - Street 2:
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-5014
Mailing Address - Country:US
Mailing Address - Phone:787-796-4344
Mailing Address - Fax:787-278-5679
Practice Address - Street 1:522 CALLE EXT S
Practice Address - Street 2:
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646-5014
Practice Address - Country:US
Practice Address - Phone:787-796-4344
Practice Address - Fax:787-278-5679
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-03
Last Update Date:2013-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice