Provider Demographics
NPI:1871530576
Name:TORO, GLADYS IVON (OPTICIAN)
Entity type:Individual
Prefix:MRS
First Name:GLADYS
Middle Name:IVON
Last Name:TORO
Suffix:
Gender:F
Credentials:OPTICIAN
Other - Prefix:DR
Other - First Name:RICARDO
Other - Middle Name:
Other - Last Name:LOPEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:HC 2 BOX 6715
Mailing Address - Street 2:BO. LAVADEROS
Mailing Address - City:HORMIGUEROS
Mailing Address - State:PR
Mailing Address - Zip Code:00660-9801
Mailing Address - Country:US
Mailing Address - Phone:787-849-2880
Mailing Address - Fax:787-849-2880
Practice Address - Street 1:CARR #2 KM 165.3
Practice Address - Street 2:BO LAVADEROS
Practice Address - City:HORMIGUEROS
Practice Address - State:PR
Practice Address - Zip Code:00660-6715
Practice Address - Country:US
Practice Address - Phone:787-849-2880
Practice Address - Fax:787-849-2880
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR195156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR100338OtherLA CRUZ AZUL
PRA 619OtherINTERNATIONAL
PRPRO 215273OtherPREFERED HEALTH
PR101222OtherIVISION
PR5358 8EYOtherTRIPLE SSS
PR5358 8EYOtherTRIPLE SSS