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NPI Code Detail

MEDICARE: DR. ISONELIE RODRIGUEZ-TORRES O.D.

MEDICARE:  DR. ISONELIE  RODRIGUEZ-TORRES  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist1273AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538295159
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ISONELIE RODRIGUEZ-TORRES O.D.
Provider Business Mailing Address
First Line : 2320 E BASELINE RD
Second Line : SUITE #145
City : PHOENIX
State : AZ
Zip : 85042-6951
Country : US
Telephone Number : 602-243-9455
Fax Number : 602-243-5888
Provider Business Practice Location Address
First Line : 2320 E BASELINE RD
Second Line : SUITE #145
City : PHOENIX
State : AZ
Zip : 85042-6951
Country : US
Telephone Number : 602-243-9455
Fax Number : 602-243-5888
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2007
Last Update Date : 07/08/2007

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Directions to “ DR. ISONELIE RODRIGUEZ-TORRES O.D.” Practice Location

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