Provider Demographics
NPI:1255434320
Name:TORO, SUZETTE (MD)
Entity type:Individual
Prefix:DR
First Name:SUZETTE
Middle Name:
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:PO BOX 2052
Mailing Address - Street 2:
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683-2052
Mailing Address - Country:US
Mailing Address - Phone:787-892-4585
Mailing Address - Fax:787-892-4585
Practice Address - Street 1:13 AVE UNIV INTERAMERICANA
Practice Address - Street 2:
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683-3922
Practice Address - Country:US
Practice Address - Phone:787-892-4585
Practice Address - Fax:787-892-4585
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12228207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR88673OtherTRIPLE-S
PR225044OtherPRFERRED HEALTH
PR060205OtherCRUZ AZUL
PR0354OtherIMC
PR601246OtherMMM
PR060205OtherCRUZ AZUL
PRG41288Medicare UPIN