Provider Demographics
NPI:1922266279
Name:JORGE F. LLAMAS SOFORO, M.D., P.A.
Entity Type:Organization
Organization Name:JORGE F. LLAMAS SOFORO, M.D., P.A.
Other - Org Name:EL PASO EYE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:FABIO
Authorized Official - Last Name:LLAMAS SOFORO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-533-5477
Mailing Address - Street 1:PO BOX 13048
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79913-3048
Mailing Address - Country:US
Mailing Address - Phone:915-533-5477
Mailing Address - Fax:915-533-9509
Practice Address - Street 1:101 ARIZONA AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-4015
Practice Address - Country:US
Practice Address - Phone:915-533-5477
Practice Address - Fax:915-533-9509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-22
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty