Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 152W00000X | Optometrist | 458099 | PR |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 458099 | PR |
N | 152WL0500X | Optomitrist - Low Vision Rehabilitation | 458099 | PR |
NPI | 1013970631 |
---|---|
Provider Name | Dr. Rafael E Toro-Landron |
First Address | Sabana Grande, PR 00637 |
Second Address | Sabana Grande, PR 00637 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2006 |
Last Update Date | 08/07/2007 |