Provider Demographics
NPI:1407042039
Name:MARCO TORRADO, DMD, MS, PSC
Entity Type:Organization
Organization Name:MARCO TORRADO, DMD, MS, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARCO
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:TORRADO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD,MS
Authorized Official - Phone:787-406-0938
Mailing Address - Street 1:PO BOX 1848
Mailing Address - Street 2:
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659-8848
Mailing Address - Country:US
Mailing Address - Phone:787-262-5800
Mailing Address - Fax:787-262-5900
Practice Address - Street 1:CARR.#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
Practice Address - Country:US
Practice Address - Phone:787-262-5800
Practice Address - Fax:787-262-5900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-18
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2706261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental