Individual provider Active NPI

Roberto Alejandro Torres Davis, DMD

  • General Practice Dentistry
  • Fajardo, PR
National Provider Identifier
1386184869
Registry record updated Jul 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3262 Issued in PR
Practice address
M10 Ave El Conquistador
Fajardo, PR 00738
Phone
(787) 860-4223
NPI assigned
Mar 2, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3262 PR Primary

Addresses

Primary practice location

M10 Ave El Conquistador
Fajardo, PR 00738

Mailing address

PO Box 7215
Mayaguez, PR 00681-7215
Phone (787) 458-2303

Other practice location 1

1034 Avenida Hostos
Ponce, PR 00716
Phone (787) 844-2307

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
I20190718002008 PR Order and Referring Only - DentistPractitioner - Dentist 9335474998

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3262PRMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sonriepr Dentistas LLC CurrentSince Nov 1, 2020 Accepting new patients
Grupo Dental Ayala del Rio CSP General Practice Past Accepting new patients

Locations

5 Calle Jardines
Hormigueros, PR 00660
Phone (787) 849-0094

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": "1488412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531526400000",
    "number": "1386184869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7215",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006817215",
            "telephone_number": "787-458-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "M10 AVE EL CONQUISTADOR",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-860-4223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1034 Avenida Hostos",
            "address_purpose": "LOCATION",
            "city": "Ponce",
            "state": "PR",
            "postal_code": "00716",
            "country_code": "US",
            "telephone_number": "787-844-2307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TORRES DAVIS",
        "first_name": "ROBERTO",
        "middle_name": "ALEJANDRO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-02",
        "last_updated": "2018-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "3262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

Verify at the official NPI Registry.