Provider Demographics
NPI:1114237690
Name:DR. J.A. TORO, CSP.
Entity Type:Organization
Organization Name:DR. J.A. TORO, CSP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:ALFREDO
Authorized Official - Last Name:TORO-TORRES
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:787-637-9845
Mailing Address - Street 1:P.O. BOX 6498
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-6498
Mailing Address - Country:US
Mailing Address - Phone:787-732-0308
Mailing Address - Fax:
Practice Address - Street 1:AVE. MUNOZ RIVERA 99
Practice Address - Street 2:
Practice Address - City:AGUAS BUENAS
Practice Address - State:PR
Practice Address - Zip Code:00703
Practice Address - Country:US
Practice Address - Phone:787-732-0308
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-18
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14930208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty