Provider Demographics
NPI:1114029352
Name:TOYOS, ONOFRE ANTONIO SR (MD)
Entity Type:Individual
Prefix:
First Name:ONOFRE
Middle Name:ANTONIO
Last Name:TOYOS
Suffix:SR
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 1:1760 CALLE MARQUESA
Mailing Address - Street 2:URB VALLE REAL
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716-0505
Mailing Address - Country:US
Mailing Address - Phone:787-842-8117
Mailing Address - Fax:787-842-8117
Practice Address - Street 1:1034 AVE HOSTOS
Practice Address - Street 2:PLAYA DE PONCE
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-1115
Practice Address - Country:US
Practice Address - Phone:787-843-9393
Practice Address - Fax:787-841-0077
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4337208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR2481201Medicare ID - Type Unspecified
PR08303Medicare UPIN