Provider Demographics
NPI:1275613051
Name:TORO BOBE, JOSE MIGUEL (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:MIGUEL
Last Name:TORO BOBE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PMB 154 PO BOX 8901
Mailing Address - Street 2:
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659
Mailing Address - Country:US
Mailing Address - Phone:787-898-4848
Mailing Address - Fax:787-544-6603
Practice Address - Street 1:CARRETERA 130 KM 7.6
Practice Address - Street 2:BARRIO BUENA VISTA
Practice Address - City:HATILLO
Practice Address - State:PUERTO RICO
Practice Address - Zip Code:00659
Practice Address - Country:UM
Practice Address - Phone:787-898-4848
Practice Address - Fax:787-544-6603
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2019-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14565208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRH96584Medicare UPIN