Provider Demographics
NPI:1265426563
Name:TORRES GONZALEZ, CESAR ANIBAL (DMD)
Entity type:Individual
Prefix:
First Name:CESAR
Middle Name:ANIBAL
Last Name:TORRES GONZALEZ
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 505
Mailing Address - Street 2:
Mailing Address - City:MOROVIS
Mailing Address - State:PR
Mailing Address - Zip Code:00687-0505
Mailing Address - Country:US
Mailing Address - Phone:787-862-4615
Mailing Address - Fax:787-862-4615
Practice Address - Street 1:25 CALLE PRINCIPAL
Practice Address - Street 2:
Practice Address - City:MOROVIS
Practice Address - State:PR
Practice Address - Zip Code:00687-3048
Practice Address - Country:US
Practice Address - Phone:787-862-4615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-01
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1612122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist