Individual
MRS. IDALYS ROSA TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3413 NW 17TH AVE, MIAMI, FL 33142-5537
(305) 635-1614
(305) 635-7476
Mailing address
3413 NW 17TH AVE, MIAMI, FL 33142-5537
(305) 635-1614
(305) 635-7476
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO3061
FL
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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