Healthcare Provider Details

I. General information

NPI: 1174227649
Provider Name (Legal Business Name): FRANCISCO JAVIER OLIVENCIA TORRES OD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2023
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WESTERN VISUAL CARE PR 402 KM 4.6
ANASCO PR
00610
US

IV. Provider business mailing address

HC4 BOX 30481
HATILLO PR
00659-9815
US

V. Phone/Fax

Practice location:
  • Phone: 787-203-7611
  • Fax:
Mailing address:
  • Phone: 787-415-4428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number765
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: