Provider Demographics
NPI:1164465811
Name:TORO VELEZ, RAFAEL (MD)
Entity Type:Individual
Prefix:
First Name:RAFAEL
Middle Name:
Last Name:TORO VELEZ
Suffix:
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:PO BOX 619
Mailing Address - Street 2:
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778-0619
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:NUM 150
Practice Address - Street 2:CALLE ANDRES ARUZ RIVERA
Practice Address - City:GURABO
Practice Address - State:PR
Practice Address - Zip Code:00778-0000
Practice Address - Country:US
Practice Address - Phone:787-737-4337
Practice Address - Fax:787-737-4337
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7621208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR317621OtherUIA
PR26217OtherTRIPLE S
PR6580015OtherHUMANA HEALTH PLAN
PR066458OtherCRUZ AZUL DE PUERTO RICO
PR201017OtherPREFERRED HEALTH
PRPE0592OtherPALIC PROVIDER
PR6580015OtherHUMANA INSURANCE
PR1309OtherFIRST MEDICAL
PR0026217Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
PRPE0592OtherPALIC PROVIDER