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Individual

GABRIELA DE LA TORRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
735 AVE PONCE DE LEON STE 510, SAN JUAN, PR 00917-5027
(787) 753-5055
Mailing address
64 PRINCIPE RAINIERO ST., URB. ESTANCIAS REALES, GUAYNABO, PR 00969
(787) 404-1222

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3373
PR
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/19/2020
Last updated
08/01/2022
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