Provider Demographics
NPI:1770634958
Name:TORO, JAVIER IVAN (PHD)
Entity Type:Individual
Prefix:DR
First Name:JAVIER
Middle Name:IVAN
Last Name:TORO
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 PARQ DE LAS GAVIOTAS
Mailing Address - Street 2:APT 904
Mailing Address - City:SABANA SECA
Mailing Address - State:PR
Mailing Address - Zip Code:00952-4028
Mailing Address - Country:US
Mailing Address - Phone:787-612-3232
Mailing Address - Fax:
Practice Address - Street 1:M3 CALLE SANTA MARIA
Practice Address - Street 2:URB. BAIROA LOCAL #1
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-1570
Practice Address - Country:US
Practice Address - Phone:787-612-3232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2609103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical