Provider Demographics
NPI:1568591584
Name:DELTORO, MANUEL F (MD)
Entity Type:Individual
Prefix:DR
First Name:MANUEL
Middle Name:F
Last Name:DELTORO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:D10 CALLE ATALAYA
Mailing Address - Street 2:GARDEN HILLS SOUTH
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-2831
Mailing Address - Country:US
Mailing Address - Phone:787-706-3600
Mailing Address - Fax:787-706-3677
Practice Address - Street 1:CITY VIEW PLAZA RD 165 KM 1.2 # 48
Practice Address - Street 2:SUITE 115
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968
Practice Address - Country:US
Practice Address - Phone:787-706-3600
Practice Address - Fax:787-706-3677
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR12818207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRG83307Medicare UPIN
PR0090225Medicare ID - Type Unspecified