Provider Demographics
NPI:1033115126
Name:TORRES-VAZQUEZ, ARMANDO (MD)
Entity type:Individual
Prefix:DR
First Name:ARMANDO
Middle Name:
Last Name:TORRES-VAZQUEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 364904
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-4904
Mailing Address - Country:US
Mailing Address - Phone:787-780-1425
Mailing Address - Fax:787-786-2311
Practice Address - Street 1:B-13 SANTA CRUZ ST.
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00960-6902
Practice Address - Country:US
Practice Address - Phone:787-780-8393
Practice Address - Fax:787-786-2311
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-23
Last Update Date:2010-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9044207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0080377Medicare ID - Type Unspecified