Individual
IVAN TORRES- SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1034 AVE HOSTOS, CENTRO DE DIAGNOSTICO Y TRATAMIENTO DE LA PLAYA, PONCE, PR 00716-1115
(787) 844-5727
(787) 844-5727
Mailing address
PO BOX 801207, COTO LAUREL, PR 00780-1207
(787) 844-5727
(787) 844-5727
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2851
PR
Other
Enumeration date
11/25/2009
Last updated
11/25/2009
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