Provider Demographics
NPI:1629186473
Name:DEL TORO, YADIRA MILAGRO (MPT)
Entity Type:Individual
Prefix:
First Name:YADIRA
Middle Name:MILAGRO
Last Name:DEL TORO
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:814 ARION PKWY STE 413
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-2835
Mailing Address - Country:US
Mailing Address - Phone:210-495-0750
Mailing Address - Fax:
Practice Address - Street 1:814 ARION PKWY STE 413
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-2835
Practice Address - Country:US
Practice Address - Phone:210-495-0750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1318287225100000X
MD21298225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist