Provider Demographics
NPI:1821167560
Name:TORRES PEREZ, RALPH (DMD)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:
Last Name:TORRES PEREZ
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:PO BOX 10046
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00922-0046
Mailing Address - Country:US
Mailing Address - Phone:787-789-6400
Mailing Address - Fax:787-789-8085
Practice Address - Street 1:A1 CALLE ARPEGIO
Practice Address - Street 2:URB HIGHLAND GARDENS
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-3519
Practice Address - Country:US
Practice Address - Phone:787-789-6400
Practice Address - Fax:787-789-8085
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1543122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR660592764OtherDELTA
PR660592764OtherCIGNA
PR660592764OtherMAPFRE
PR660592764OtherMEDICAL CARD SYSTEM
PR42536OtherTRIPLE S
PR660592764OtherMAPFRE