Provider Demographics
NPI:1609970243
Name:TORRES, GILBERTO JOSE (DMD)
Entity Type:Individual
Prefix:DR
First Name:GILBERTO
Middle Name:JOSE
Last Name:TORRES
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 1:430 SAN CLAUDIO AVE.
Mailing Address - Street 2:URB. SAGRADO CORAZON
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-761-0888
Mailing Address - Fax:787-760-2195
Practice Address - Street 1:430 SAN CLAUDIO AVE.
Practice Address - Street 2:URB. SAGRADO CORAZON
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-761-0888
Practice Address - Fax:787-760-2195
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR660386268OtherMAPFRE
PR040684OtherCRUZ AZUL
PR41103OtherTRIPLE S
PR660386268OtherCIGNA