Provider Demographics
NPI:1992999635
Name:TORRES, AILEEN MARIE (DMD)
Entity type:Individual
Prefix:DR
First Name:AILEEN
Middle Name:MARIE
Last Name:TORRES
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:ENTRERIOS ER 105
Mailing Address - Street 2:CALLE PLAZA SILVESTRE
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976
Mailing Address - Country:US
Mailing Address - Phone:787-748-9424
Mailing Address - Fax:787-292-8034
Practice Address - Street 1:RECINTO DE CIENCIAS MEDICAS TERRENOS DEL CENTRO MEDICO
Practice Address - Street 2:OFICINA #A150
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00935
Practice Address - Country:US
Practice Address - Phone:787-758-2525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-05
Last Update Date:2009-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice