Provider Demographics
NPI:1275301962
Name:TORO, WILBERT
Entity Type:Individual
Prefix:
First Name:WILBERT
Middle Name:
Last Name:TORO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 CALLE ENSANCHE RAMIREZ
Mailing Address - Street 2:
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683-4321
Mailing Address - Country:US
Mailing Address - Phone:787-478-2165
Mailing Address - Fax:
Practice Address - Street 1:CARR. 102 KM 36.0 BO. MINILLAS
Practice Address - Street 2:
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683-4321
Practice Address - Country:US
Practice Address - Phone:787-978-7225
Practice Address - Fax:787-680-0814
Is Sole Proprietor?:No
Enumeration Date:2023-12-13
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR00822-PA363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical