Provider Demographics
NPI:1497026496
Name:TOLENTINO, ELVIRA P (MD)
Entity Type:Individual
Prefix:DR
First Name:ELVIRA
Middle Name:P
Last Name:TOLENTINO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5274 GOLDEN GATE PARKWAY
Mailing Address - Street 2:SUITE 1
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34116-3510
Mailing Address - Country:US
Mailing Address - Phone:239-455-9919
Mailing Address - Fax:973-904-9274
Practice Address - Street 1:5274 GOLDEN GATE PARKWAY
Practice Address - Street 2:SUITE 1
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34116-2154
Practice Address - Country:US
Practice Address - Phone:239-455-9919
Practice Address - Fax:239-455-9909
Is Sole Proprietor?:No
Enumeration Date:2012-01-23
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA04671100208000000X, 2080N0001X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine