Provider Demographics
NPI:1851392443
Name:TORRES, CARMEN S (RDH)
Entity Type:Individual
Prefix:MS
First Name:CARMEN
Middle Name:S
Last Name:TORRES
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COND DALIA HILLS
Mailing Address - Street 2:K20 CALLE 1 APT. 43
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959-7817
Mailing Address - Country:US
Mailing Address - Phone:787-486-6297
Mailing Address - Fax:787-707-3494
Practice Address - Street 1:BLDG. 312 CHRISMAN ST
Practice Address - Street 2:FT. BUCHANAN DENTAL CLINIC
Practice Address - City:FT. BUCHANAN
Practice Address - State:PR
Practice Address - Zip Code:00934-5066
Practice Address - Country:US
Practice Address - Phone:787-707-2040
Practice Address - Fax:787-707-3494
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR075124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist