Provider Demographics
NPI:1528284585
Name:PRO VISION OPHTHALMOLOGY,PSC
Entity type:Organization
Organization Name:PRO VISION OPHTHALMOLOGY,PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WALFRED
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-870-3341
Mailing Address - Street 1:SABANERA DORADO
Mailing Address - Street 2:289 CAMINO LOS ROBLES
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-3612
Mailing Address - Country:US
Mailing Address - Phone:787-870-3341
Mailing Address - Fax:787-870-3386
Practice Address - Street 1:RIO DEL PLATA MALL
Practice Address - Street 2:SUITE 4A
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00953
Practice Address - Country:US
Practice Address - Phone:787-870-3341
Practice Address - Fax:787-870-3386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty