Provider Demographics
NPI:1427256858
Name:TORRES-OCHOA, DEYANIRA (DMD)
Entity type:Individual
Prefix:MRS
First Name:DEYANIRA
Middle Name:
Last Name:TORRES-OCHOA
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 1:8034 NW 154 ST.
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016
Mailing Address - Country:US
Mailing Address - Phone:305-558-7615
Mailing Address - Fax:305-821-6818
Practice Address - Street 1:8034 NW 154 ST.
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016
Practice Address - Country:US
Practice Address - Phone:305-558-7615
Practice Address - Fax:305-821-6818
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-06
Last Update Date:2013-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN17973122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist