Active NPI
Jose J. Torres Correa, D.M.D.
- General Practice Dentistry
- Caguas, PR
National Provider Identifier
1396882825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1755
- Practice address
- 202 Jose Gautier Benitez Ave.
Consolidated Mall C1D-Ext.
Caguas, PR 00725 - Phone
- (787) 743-4213
- Fax
- (787) 743-4213
- NPI assigned
- Feb 1, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1755 | PR | Primary |
Addresses
Primary practice location
202 Jose Gautier Benitez Ave.
Consolidated Mall C1D-Ext.
Caguas, PR 00725
Mailing address
Villa Serena
55 Calle Loire
Santa Isabel, PR 00757-2546
Phone (787) 743-4213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1755 | PR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396882825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "VILLA SERENA",
"address_2": "55 CALLE LOIRE",
"city": "SANTA ISABEL",
"state": "PR",
"postal_code": "007572546",
"telephone_number": "787-743-4213",
"fax_number": "787-743-4213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 JOSE GAUTIER BENITEZ AVE.",
"address_2": "CONSOLIDATED MALL C1D-EXT.",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-743-4213",
"fax_number": "787-743-4213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES CORREA",
"first_name": "JOSE",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PR",
"license": "1755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.