Provider Demographics
NPI:1992033914
Name:TORRES, MYRIEL (DMD)
Entity Type:Individual
Prefix:DR
First Name:MYRIEL
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:474 VIA MARBELLA
Mailing Address - Street 2:PASEO DEL MAR
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-4646
Mailing Address - Country:US
Mailing Address - Phone:787-388-9576
Mailing Address - Fax:
Practice Address - Street 1:474 VIA MARBELLA
Practice Address - Street 2:PASEO DEL MAR
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646-4646
Practice Address - Country:US
Practice Address - Phone:787-388-9576
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-02
Last Update Date:2012-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR28421223P0700X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
No1223G0001XDental ProvidersDentistGeneral Practice