Provider Demographics
NPI:1780655423
Name:DEL TORO, LUISA INES (OD)
Entity Type:Individual
Prefix:DR
First Name:LUISA
Middle Name:INES
Last Name:DEL TORO
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 1:5068 ANNUNCIATION CIR UNIT 108
Mailing Address - Street 2:
Mailing Address - City:AVE MARIA
Mailing Address - State:FL
Mailing Address - Zip Code:34142-9668
Mailing Address - Country:US
Mailing Address - Phone:239-658-5854
Mailing Address - Fax:
Practice Address - Street 1:5068 ANNUNCIATION CIR UNIT 108
Practice Address - Street 2:
Practice Address - City:AVE MARIA
Practice Address - State:FL
Practice Address - Zip Code:34142-9668
Practice Address - Country:US
Practice Address - Phone:239-658-5854
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-31
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC3106152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFL3106OtherEYEMED
FL206497OtherCLARITYVISION
FL06031OtherDAVIS VISION
FL20037OtherCIGNA
FLWE08428OtherSPECTERA
FL3106OtherVISION BENEFITS OF AMERIC
FL613027OtherVCP - BROWARD SCHOOLS
FLFL3106OtherEYEMED
FLU78456Medicare UPIN