Individual provider Active NPI

Cesar Anibal Torres Gonzalez, DMD

  • Dentist
  • Morovis, PR
National Provider Identifier
1265426563
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1612 Issued in PR
Practice address
25 Calle Principal
Morovis, PR 00687-3048
Phone
(787) 862-4615
NPI assigned
Sep 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1612 PR Primary

Addresses

Primary practice location

25 Calle Principal
Morovis, PR 00687-3048

Mailing address

PO Box 505
Morovis, PR 00687-0505
Phone (787) 862-4615

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170106001480 PR Order and Referring Only - DentistPractitioner - Dentist 7517248446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1612PRMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Marrero-Santiago Group LLC General Practice Past Accepting new patients
Dental Torres PSC Dentist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1265426563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 505",
            "city": "MOROVIS",
            "state": "PR",
            "postal_code": "006870505",
            "telephone_number": "787-862-4615",
            "fax_number": "787-862-4615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CALLE PRINCIPAL",
            "city": "MOROVIS",
            "state": "PR",
            "postal_code": "006873048",
            "telephone_number": "787-862-4615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES GONZALEZ",
        "first_name": "CESAR",
        "middle_name": "ANIBAL",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "1612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morovis, PR

Sources for this page

Verify at the official NPI Registry.