Provider Demographics
NPI:1508998360
Name:TORREGROSA, RAFAEL FRANCISCO JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:RAFAEL
Middle Name:FRANCISCO
Last Name:TORREGROSA
Suffix:JR
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 1:316 AVE JESUS T PINERO
Mailing Address - Street 2:UNIVERSITY GARDENS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927-3907
Mailing Address - Country:US
Mailing Address - Phone:787-765-7409
Mailing Address - Fax:787-765-8599
Practice Address - Street 1:316 AVE JESUS T PINERO
Practice Address - Street 2:UNIVERSITY GARDENS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927-3907
Practice Address - Country:US
Practice Address - Phone:787-765-7409
Practice Address - Fax:787-765-8599
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR21101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice