Provider Demographics
NPI:1447392857
Name:TORO, NANNETTE GERALDA (MD)
Entity Type:Individual
Prefix:DR
First Name:NANNETTE
Middle Name:GERALDA
Last Name:TORO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 CALLE E
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716-2546
Mailing Address - Country:US
Mailing Address - Phone:787-290-4344
Mailing Address - Fax:787-290-4344
Practice Address - Street 1:CALLE CRISTINA # 21 ESQUINA PROCERES
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-2546
Practice Address - Country:US
Practice Address - Phone:787-290-4344
Practice Address - Fax:787-290-4344
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12804174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist