Organization
PROSTO-DENTAL, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS ALBERTO TORRES D.M.D (PROSTODONTICS)
(787) 758-3804
Entity
Organization
Contact information
Practice address
RIO AMAZONAS VALLE VERDE, BC20, BAYAMON, PR 00961
(787) 795-5998
Mailing address
TENIENTE CESAR GONZALEZ, 568, HATO REY, PR 00918
(787) 758-3804
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
2756
PR
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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