Provider Demographics
NPI:1740330802
Name:TORRES-RIVERA, NELSON ERIC
Entity type:Individual
Prefix:DR
First Name:NELSON
Middle Name:ERIC
Last Name:TORRES-RIVERA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE COLON NUM. 2 OESTE
Mailing Address - Street 2:
Mailing Address - City:SAN LORENZO
Mailing Address - State:PR
Mailing Address - Zip Code:00754-3407
Mailing Address - Country:US
Mailing Address - Phone:787-736-2338
Mailing Address - Fax:787-715-2369
Practice Address - Street 1:CALLE COLON NUM. 2 OESTE
Practice Address - Street 2:
Practice Address - City:SAN LORENZO
Practice Address - State:PR
Practice Address - Zip Code:00754-3407
Practice Address - Country:US
Practice Address - Phone:787-736-2338
Practice Address - Fax:787-715-2369
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice