Provider Demographics
NPI:1780632505
Name:DEL TORO MARTINEZ, IVAN EUGENIO (MD, FACOG)
Entity Type:Individual
Prefix:
First Name:IVAN
Middle Name:EUGENIO
Last Name:DEL TORO MARTINEZ
Suffix:
Gender:M
Credentials:MD, FACOG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:C9 CALLE 1
Mailing Address - Street 2:ALTOS DE LA FUENTE
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-7313
Mailing Address - Country:US
Mailing Address - Phone:787-258-2061
Mailing Address - Fax:
Practice Address - Street 1:AVE LUIS MUNOZ MARIN, ESQ DEGETAU
Practice Address - Street 2:H.I.M.A.-SAN PABLO
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00726-4980
Practice Address - Country:US
Practice Address - Phone:787-653-3434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5879207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR98506OtherSSS
PR98506OtherSSS