Provider Demographics
NPI:1154640415
Name:TORO, ANNETTE SUZANNE (PSY D)
Entity Type:Individual
Prefix:DR
First Name:ANNETTE
Middle Name:SUZANNE
Last Name:TORO
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. COUNTRY CLUB #438
Mailing Address - Street 2:MZ-29
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00982-1803
Mailing Address - Country:US
Mailing Address - Phone:787-562-2966
Mailing Address - Fax:
Practice Address - Street 1:URB. COUNTRY CLUB #438
Practice Address - Street 2:MZ-29
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00982-1803
Practice Address - Country:US
Practice Address - Phone:787-562-2966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-26
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR001935103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical