Healthcare Provider Details

I. General information

NPI: 1366638165
Provider Name (Legal Business Name): ANA CRISTINA TORO-ORTIZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2007
Last Update Date: 04/21/2020
Certification Date: 04/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE 65 DE INFANTERIA KM 12.3 INSTITUTO DE OJOS
CAROLINA PR
00985
US

IV. Provider business mailing address

C14 URB CAMPO REY
AIBONITO PR
00705-3926
US

V. Phone/Fax

Practice location:
  • Phone: 787-769-2477
  • Fax: 787-276-0065
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number17364
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code207WX0200X
TaxonomyOphthalmic Plastic and Reconstructive Surgery Physician
License Number17364
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: