Individual provider Active NPI

Manuel Augusto Torres-Diaz I, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Guaynabo, PR
National Provider Identifier
1659489052
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
1173 Issued in PR
Practice address
57 Ave Esmeralda
Urb. Munoz Rivera
Guaynabo, PR 00969-4429
Phone
(787) 720-1409
Fax
(787) 720-1409
NPI assigned
Aug 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 1173 PR Primary

Addresses

Primary practice location

57 Ave Esmeralda
Urb. Munoz Rivera
Guaynabo, PR 00969-4429

Mailing address

57 Ave Esmeralda
Urb. Munoz Rivera
Guaynabo, PR 00969-4429
Phone (787) 720-1409

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
I20160224001780 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0042515322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1173PRMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659489052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 AVE ESMERALDA",
            "address_2": "URB. MUNOZ RIVERA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694429",
            "telephone_number": "787-720-1409",
            "fax_number": "787-720-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 AVE ESMERALDA",
            "address_2": "URB. MUNOZ RIVERA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694429",
            "telephone_number": "787-720-1409",
            "fax_number": "787-720-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES-DIAZ",
        "first_name": "MANUEL",
        "middle_name": "AUGUSTO",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PR",
            "license": "1173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.