Provider Demographics
NPI:1285629865
Name:TORO, JORGE ANTONIO (DMD)
Entity Type:Individual
Prefix:DR
First Name:JORGE
Middle Name:ANTONIO
Last Name:TORO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 CALLE BARBOSA
Mailing Address - Street 2:
Mailing Address - City:CABO ROJO
Mailing Address - State:PR
Mailing Address - Zip Code:00623-4005
Mailing Address - Country:US
Mailing Address - Phone:787-851-5744
Mailing Address - Fax:787-851-5744
Practice Address - Street 1:44 CALLE BARBOSA
Practice Address - Street 2:
Practice Address - City:CABO ROJO
Practice Address - State:PR
Practice Address - Zip Code:00623-4005
Practice Address - Country:US
Practice Address - Phone:787-851-5744
Practice Address - Fax:787-851-5744
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-20
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice