Provider Demographics
NPI:1699748764
Name:DR. JORGE O. TORRES GUZMAN, SPECIALIST IN PEDIATRIC DENTISTRY, PSC
Entity type:Organization
Organization Name:DR. JORGE O. TORRES GUZMAN, SPECIALIST IN PEDIATRIC DENTISTRY, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:ORLANDO
Authorized Official - Last Name:TORRES GUZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:787-746-7525
Mailing Address - Street 1:PO BOX 7278
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-7278
Mailing Address - Country:US
Mailing Address - Phone:787-746-7525
Mailing Address - Fax:787-746-7505
Practice Address - Street 1:2D24 AVE PINO
Practice Address - Street 2:URB. VILLA DEL REY
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-6254
Practice Address - Country:US
Practice Address - Phone:787-746-7525
Practice Address - Fax:787-746-7505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRD21121223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty