1407042039 NPI number — MARCO TORRADO, DMD, MS, PSC

Table of content: (NPI 1407042039)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407042039 NPI number — MARCO TORRADO, DMD, MS, PSC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MARCO TORRADO, DMD, MS, PSC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1407042039
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/18/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1848
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HATILLO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00659-8848
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-262-5800
Provider Business Mailing Address Fax Number:
787-262-5900

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CARR.#2,KM 87.7, AVE.PABLO J. AGUILAR
Provider Second Line Business Practice Location Address:
BO.PUEBLO
Provider Business Practice Location Address City Name:
HATILLO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00659
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-262-5800
Provider Business Practice Location Address Fax Number:
787-262-5900
Provider Enumeration Date:
09/18/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
TORRADO
Authorized Official First Name:
MARCO
Authorized Official Middle Name:
ANTONIO
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
787-406-0938

Provider Taxonomy Codes

  • Taxonomy code: 261QD0000X , with the licence number:  2706 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)