Fidel Rodriguez Torres Jr., O.D.
Individual provider Active NPI Optometrist · Rincon, PR
NPI 1831168541 · NPPES record last updated Aug 11, 2011
Key facts
- NPI
- 1831168541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 594 (PR)
- Practice address
- Carr 115 KM 11.6 Bo Pueblo
Rincon, PR 00677 - Phone
- (787) 823-4545
- NPI assigned
- Mar 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 594 | PR | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Optical Shop Inc | Optometrist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 594 | PR | Yes |
Addresses
Primary practice location
Carr 115 KM 11.6 Bo Pueblo
Rincon, PR 00677
Mailing address
PO Box 464
Rincon, PR 00677-0464
Other providers in Rincon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.