Clinica Dental Torres Fernandez LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CLINICA DENTAL TORRES FERNANDEZ LLC

Doing business as

Grupo Dental Torres Fernandez

Practice address

Urb. Sagrado Corazon # 430 Ave. San Claudio
San Juan, PR 00926-4222

Phone

(787) 761-0888

Fax

(787) 760-2195

NPI assigned

Sep 13, 2006

Last updated

May 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gilberto Torres, DMDNPI 1609970243

Title

Dentist Owner

Phone

(787) 615-1932

Specialties & licenses 4

Addresses

Other identifiers 7

Other names 1

• Grupo Dental Torres Fernandez Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gilberto Jose Torres, DMD

  • General Practice Dentistry
  • San Juan, PR
  • NPI 1609970243
  Medicare reassignment NPD Authorized official
• Ileana Fernandez, D.M.D.

  • General Practice Dentistry
  • San Juan, PR
  • NPI 1215032008
  NPD
• Felix Omar Santiago

  • General Practice Dentistry
  • San Juan, PR
  • NPI 1336593474
  NPD (past)
• Hilda Ivelisse Avila, DMD

  • General Practice Dentistry
  • Martinez, GA
  • NPI 1447342134
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590105600000",
    "number": "1710082151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. SAGRADO CORAZON # 430 AVE. SAN CLAUDIO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264222",
            "telephone_number": "787-761-0888",
            "fax_number": "787-760-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. SAGRADO CORAZON # 430 AVE. SAN CLAUDIO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264222",
            "telephone_number": "787-761-0888",
            "fax_number": "787-760-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DENTAL TORRES FERNANDEZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "GILBERTO",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "787-615-1932",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1249",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1621",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2509",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "041771",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAPFRE",
            "identifier": "660386268",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCS",
            "identifier": "660386268",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA",
            "identifier": "660386268",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "40814",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "660386268",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "660386268",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grupo Dental Torres Fernandez",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in San Juan, PR
• Providers in San Juan, PR by specialty
• Dentist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.