Provider Demographics
NPI:1376577809
Name:TORRES, AYLEEN JUDITH (DMD)
Entity Type:Individual
Prefix:DR
First Name:AYLEEN
Middle Name:JUDITH
Last Name:TORRES
Suffix:
Gender:F
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:PO BOX 903
Mailing Address - Street 2:
Mailing Address - City:FAJARDO
Mailing Address - State:PR
Mailing Address - Zip Code:00738-0903
Mailing Address - Country:US
Mailing Address - Phone:787-801-8902
Mailing Address - Fax:787-863-3713
Practice Address - Street 1:13 BARCELO STREET
Practice Address - Street 2:2ND FLOOR
Practice Address - City:FAJARDO
Practice Address - State:PR
Practice Address - Zip Code:00738
Practice Address - Country:US
Practice Address - Phone:787-801-8602
Practice Address - Fax:787-863-3713
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2015-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRD22911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice