Active NPI
Angel Manuel Torres, DMD
- Dentist
- Santa Isabel, PR
National Provider Identifier
1336100221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D2082
- Practice address
- Munoz Rivera #56
Santa Isabel, PR 00757 - Phone
- (787) 845-6706
- Fax
- (787) 845-6706
- NPI assigned
- Mar 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D2082 | PR | Primary |
Addresses
Primary practice location
Munoz Rivera #56
Santa Isabel, PR 00757
Mailing address
PO Box 2368
Coamo, PR 00769-4368
Phone (787) 845-6706
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6310005 | Other | PR | HUMANA PUERTO RICO |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150806012585 | PR | Order and Referring Only - Oral Surgery | 8921312794 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D2082 | PR | MD | Dentist |
| 2082 | PR | MD | Pediatric Clinical & Laboratory Immunology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487203200000",
"number": "1336100221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2368",
"city": "COAMO",
"state": "PR",
"postal_code": "007694368",
"telephone_number": "787-845-6706",
"fax_number": "787-845-6706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MUNOZ RIVERA #56",
"city": "SANTA ISABEL",
"state": "PR",
"postal_code": "00757",
"telephone_number": "787-845-6706",
"fax_number": "787-845-6706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES",
"first_name": "ANGEL",
"middle_name": "MANUEL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-30",
"last_updated": "2017-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PR",
"license": "D2082",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA PUERTO RICO",
"identifier": "6310005",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Isabel, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.