Provider Demographics
NPI:1346339538
Name:DEL TORO, ANTONIO RAFAEL
Entity Type:Individual
Prefix:DR
First Name:ANTONIO
Middle Name:RAFAEL
Last Name:DEL 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:PO BOX 704
Mailing Address - Street 2:
Mailing Address - City:CULEBRA
Mailing Address - State:PR
Mailing Address - Zip Code:00775-0704
Mailing Address - Country:US
Mailing Address - Phone:787-742-0495
Mailing Address - Fax:
Practice Address - Street 1:SALISBURRY ST
Practice Address - Street 2:
Practice Address - City:CULEBRA
Practice Address - State:PR
Practice Address - Zip Code:00775-0704
Practice Address - Country:US
Practice Address - Phone:787-742-0495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12495207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRH93303Medicare UPIN