Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 2405 | PR |
NPI | 1245276914 |
---|---|
Provider Name | Dr. Brenda L Torres Rivera |
First Address | Trujillo Alto, PR 00976-6195 |
Second Address | Carolina, PR 00979-4835 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2006 |
Last Update Date | 01/11/2016 |