Provider Demographics
NPI:1417787573
Name:TORREJON, ALVARO (DMD)
Entity type:Individual
Prefix:DR
First Name:ALVARO
Middle Name:
Last Name:TORREJON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8713 LEWIS RIVER RD
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-9595
Mailing Address - Country:US
Mailing Address - Phone:561-374-7990
Mailing Address - Fax:561-374-5571
Practice Address - Street 1:8190 S JOG RD STE 110
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33472-2911
Practice Address - Country:US
Practice Address - Phone:561-374-7990
Practice Address - Fax:561-374-5571
Is Sole Proprietor?:No
Enumeration Date:2024-08-05
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN294781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice