Provider Demographics
NPI:1235777202
Name:ESPINO TORRES, ISAMALISH (OD)
Entity Type:Individual
Prefix:DR
First Name:ISAMALISH
Middle Name:
Last Name:ESPINO TORRES
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 PARQUE TERRALINDA
Mailing Address - Street 2:
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976-4061
Mailing Address - Country:US
Mailing Address - Phone:939-383-8183
Mailing Address - Fax:
Practice Address - Street 1:3009 AVE RAMON LUIS RIVERA
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956-9214
Practice Address - Country:US
Practice Address - Phone:787-279-8137
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-20
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR000744152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist