Ivan Torres- Santiago, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2851 Issued in PR

Practice address

1034 Ave Hostos
Centro de Diagnostico Y Tratamiento de la Playa
Ponce, PR 00716-1115

Phone

(787) 844-5727

Fax

(787) 844-5727

NPI assigned

Nov 25, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Penuelas Dental Team LLC

  • Dental Clinic/Center
  • Penuelas, PR
  • NPI 1679976914
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259107200000",
    "number": "1104154384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801207",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007801207",
            "telephone_number": "787-844-5727",
            "fax_number": "787-844-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 AVE HOSTOS",
            "address_2": "CENTRO DE DIAGNOSTICO Y TRATAMIENTO DE LA PLAYA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007161115",
            "telephone_number": "787-844-5727",
            "fax_number": "787-844-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES- SANTIAGO",
        "first_name": "IVAN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-25",
        "last_updated": "2009-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Torres Torres
• Kamila Eduver Torres Traverso
• Kiara Torres Vega, PHARM D
• Elba I Torres Velez, MD
• Jose Antonio Torres Viruet
• Francis J Torres-Aguiar, MD
• Andrea K. Torres-Arroyo, MS. SLP
• Jo Ann Marie Torres-Arroyo, MD
• Hector R Torres-Cabrera, M.D.
• Wilson Torres-Estela, M.D.

• General Practice Dentistry in Ponce, PR
• Providers in Ponce, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.