Provider Demographics
NPI:1780675744
Name:LATONI, ROBERTO D (MD)
Entity Type:Individual
Prefix:
First Name:ROBERTO
Middle Name:D
Last Name:LATONI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6043
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-6043
Mailing Address - Country:US
Mailing Address - Phone:787-831-5700
Mailing Address - Fax:787-831-5700
Practice Address - Street 1:29 CALLE NELSON PEREA
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-4946
Practice Address - Country:US
Practice Address - Phone:787-831-5700
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-31
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR148112085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRH98589Medicare UPIN