Provider Demographics
NPI:1700982972
Name:TORRES-CASTILLO, SANDRA YVETTE (DDS)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:YVETTE
Last Name:TORRES-CASTILLO
Suffix:
Gender:F
Credentials:DDS
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 250138
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00604-0138
Mailing Address - Country:US
Mailing Address - Phone:787-819-1138
Mailing Address - Fax:787-819-1138
Practice Address - Street 1:REPARTO EL FARO #2
Practice Address - Street 2:CARRETERA 107 BO BORINQUEN
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603
Practice Address - Country:US
Practice Address - Phone:787-819-1138
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR24041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice