Provider Demographics
NPI:1801852439
Name:TORO, DIANA E (MD)
Entity Type:Individual
Prefix:DR
First Name:DIANA
Middle Name:E
Last Name:TORO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6101 BLUE LAGOON DR STE 400
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-2051
Mailing Address - Country:US
Mailing Address - Phone:305-500-2000
Mailing Address - Fax:
Practice Address - Street 1:4090 S RIDGEWOOD AVE
Practice Address - Street 2:
Practice Address - City:PT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32127-4501
Practice Address - Country:US
Practice Address - Phone:386-761-0050
Practice Address - Fax:386-761-1167
Is Sole Proprietor?:No
Enumeration Date:2006-04-22
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13197207R00000X
FLACN178207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL267860800Medicaid
H30710Medicare UPIN
FLU5581ZMedicare PIN