Provider Demographics
NPI:1801021746
Name:LAS PIEDRAS DENTAL GROUP P.S.C.
Entity Type:Organization
Organization Name:LAS PIEDRAS DENTAL GROUP P.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES MARRER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:787-647-7330
Mailing Address - Street 1:85 CALLE JOSE CELSO BARBOSA
Mailing Address - Street 2:
Mailing Address - City:LAS PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00771
Mailing Address - Country:US
Mailing Address - Phone:787-647-7330
Mailing Address - Fax:
Practice Address - Street 1:85 CALLE JOSE CELSO BARBOSA
Practice Address - Street 2:
Practice Address - City:LAS PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00771
Practice Address - Country:US
Practice Address - Phone:787-647-7330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-21
Last Update Date:2009-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental