Provider Demographics
NPI:1396820833
Name:LOPEZ TORRES, SYLVIA (OD)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:
Last Name:LOPEZ TORRES
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:SYLVIA
Other - Middle Name:
Other - Last Name:LOPEZ TORRES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:CALLE B B-4
Mailing Address - Street 2:VILLA VERDE
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966
Mailing Address - Country:US
Mailing Address - Phone:787-509-2334
Mailing Address - Fax:
Practice Address - Street 1:CALLE B B-4
Practice Address - Street 2:VILLA VERDE
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966
Practice Address - Country:US
Practice Address - Phone:787-509-2334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR454152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist