Provider Demographics
NPI:1508297920
Name:TORRES, MARIA J (BA)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:J
Last Name:TORRES
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:TURABO CLUSTERS
Mailing Address - Street 2:SUITE 224
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727
Mailing Address - Country:US
Mailing Address - Phone:787-557-4434
Mailing Address - Fax:787-738-1800
Practice Address - Street 1:CALLE NUNEZ ROMEU 55
Practice Address - Street 2:
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736
Practice Address - Country:US
Practice Address - Phone:787-557-4434
Practice Address - Fax:781-738-1800
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-11
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR002459126800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant