Provider Demographics
NPI:1467657189
Name:DR . RALPH TORRES PEREZ CSP
Entity type:Organization
Organization Name:DR . RALPH TORRES PEREZ CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:787-789-6400
Mailing Address - Street 1:167 CALLE COLA DE PESCADO
Mailing Address - Street 2:URB PALMA REAL
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-5818
Mailing Address - Country:US
Mailing Address - Phone:787-789-6400
Mailing Address - Fax:787-789-8085
Practice Address - Street 1:LOS JARDINES SHOPPING CENTER
Practice Address - Street 2:SUITE 201 BANCO POPULAR ALTOS
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-789-6400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-21
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR42536OtherGRUPAL