Provider Demographics
NPI:1659489052
Name:TORRES-DIAZ, MANUEL AUGUSTO I (DDS)
Entity Type:Individual
Prefix:DR
First Name:MANUEL
Middle Name:AUGUSTO
Last Name:TORRES-DIAZ
Suffix:I
Gender:M
Credentials:DDS
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Mailing Address - Street 1:57 AVE ESMERALDA
Mailing Address - Street 2:URB. MUNOZ RIVERA
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-4429
Mailing Address - Country:US
Mailing Address - Phone:787-720-1409
Mailing Address - Fax:787-720-1409
Practice Address - Street 1:57 AVE ESMERALDA
Practice Address - Street 2:URB. MUNOZ RIVERA
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-4429
Practice Address - Country:US
Practice Address - Phone:787-720-1409
Practice Address - Fax:787-720-1409
Is Sole Proprietor?:No
Enumeration Date:2006-08-26
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PR11731223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics