Provider Demographics
NPI:1922170885
Name:TORRES-BAYONA, DANIEL MELCHOR (DDS)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:MELCHOR
Last Name:TORRES-BAYONA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4750 S PADRE ISLAND DR STE 101
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-4416
Mailing Address - Country:US
Mailing Address - Phone:361-992-2483
Mailing Address - Fax:361-993-1199
Practice Address - Street 1:4750 S PADRE ISLAND DR STE 101
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-4416
Practice Address - Country:US
Practice Address - Phone:361-992-2483
Practice Address - Fax:361-993-1199
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX184201223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX090742003Medicaid
413923OtherUNITED CONCORDIA