Provider Demographics
NPI:1407048788
Name:TORO, NILSA E
Entity Type:Individual
Prefix:MRS
First Name:NILSA
Middle Name:E
Last Name:TORO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB BRISAS DE MONTECASINO
Mailing Address - Street 2:PIRAGUA 489
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953-3836
Mailing Address - Country:US
Mailing Address - Phone:787-505-5511
Mailing Address - Fax:787-251-5242
Practice Address - Street 1:AVE TNTE NELSON MARTINEZ
Practice Address - Street 2:SUITE 202
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-505-5511
Practice Address - Fax:787-251-5242
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-10
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2916174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist