Provider Demographics
NPI:1144051087
Name:TORRES, ANGEL JOMAR SR (OPTICO)
Entity type:Individual
Prefix:MR
First Name:ANGEL
Middle Name:JOMAR
Last Name:TORRES
Suffix:SR
Gender:M
Credentials:OPTICO
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Other - Credentials:
Mailing Address - Street 1:CALLE COMERCIO B19
Mailing Address - Street 2:PLAZA DEL MERCADO EDIFICIO B
Mailing Address - City:JUANA DIAZ
Mailing Address - State:PR
Mailing Address - Zip Code:00795
Mailing Address - Country:US
Mailing Address - Phone:787-696-3425
Mailing Address - Fax:
Practice Address - Street 1:CALLE COMERCIO B19
Practice Address - Street 2:PLAZA DEL MERCADO EDIFICIO B
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795-2335
Practice Address - Country:US
Practice Address - Phone:787-696-3425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR001406156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician