Provider Demographics
NPI:1689550006
Name:TORMOR DENTAL PR LLC
Entity type:Organization
Organization Name:TORMOR DENTAL PR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRADORA
Authorized Official - Prefix:MRS
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:MULERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-525-6521
Mailing Address - Street 1:PO BOX 43
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-5377
Mailing Address - Country:US
Mailing Address - Phone:787-884-0417
Mailing Address - Fax:
Practice Address - Street 1:82 PASEO DE LAS ATENAS
Practice Address - Street 2:
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-5377
Practice Address - Country:US
Practice Address - Phone:787-884-0417
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty