Provider Demographics
NPI:1891757472
Name:TORO-BURGUETE, JORGE A (MD)
Entity Type:Individual
Prefix:DR
First Name:JORGE
Middle Name:A
Last Name:TORO-BURGUETE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:30 MANSIONES DEL SUR
Mailing Address - Street 2:CALLE CEIBA
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780-2005
Mailing Address - Country:US
Mailing Address - Phone:787-840-8085
Mailing Address - Fax:787-840-4364
Practice Address - Street 1:2225 PONCE BY PASS
Practice Address - Street 2:EDIFICIO PARRA STE 1001
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-1321
Practice Address - Country:US
Practice Address - Phone:787-840-8085
Practice Address - Fax:787-840-4364
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-06
Last Update Date:2021-12-08
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Provider Licenses
StateLicense IDTaxonomies
PR136232086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0020603Medicare PIN
PRH39679Medicare UPIN