Individual provider Active NPI

Manuel A Torres-Perez, D.M.D.

  • General Practice Dentistry
  • Adjuntas, PR
National Provider Identifier
1831175405
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1675 Issued in PR
Practice address
17 Calle Barbosa
Adjuntas, PR 00601-2210
Phone
(787) 829-5275
Fax
(787) 829-5275
NPI assigned
Dec 15, 2005
Last updated
Jun 2, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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 1675 PR Primary

Addresses

Primary practice location

17 Calle Barbosa
Adjuntas, PR 00601-2210

Mailing address

PO Box 40
Adjuntas, PR 00601-0040
Phone (787) 829-5275

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
I20160506000077 PR Order and Referring Only - DentistPractitioner - Dentist 0042519498

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Dental de Jong-Torres General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401667200000",
    "number": "1831175405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "ADJUNTAS",
            "state": "PR",
            "postal_code": "006010040",
            "telephone_number": "787-829-5275",
            "fax_number": "787-829-5275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CALLE BARBOSA",
            "city": "ADJUNTAS",
            "state": "PR",
            "postal_code": "006012210",
            "telephone_number": "787-829-5275",
            "fax_number": "787-829-5275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES-PEREZ",
        "first_name": "MANUEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2014-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adjuntas, PR

Sources for this page

Verify at the official NPI Registry.