Provider Demographics
NPI:1104960293
Name:TORRES COLON, MARIA TERESA (DMD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:TERESA
Last Name:TORRES COLON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:#650 LLOVERAS ST.
Mailing Address - Street 2:CENTRO PLAZA STE 206
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00909-2113
Mailing Address - Country:US
Mailing Address - Phone:787-725-4643
Mailing Address - Fax:
Practice Address - Street 1:#650 LLOVERAS ST.
Practice Address - Street 2:CENTRO PLAZA STE 206
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909-2113
Practice Address - Country:US
Practice Address - Phone:787-725-4643
Practice Address - Fax:787-725-4643
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2251122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist