Provider Demographics
NPI:1265720874
Name:TORO, GLORYANA (SLP)
Entity type:Individual
Prefix:MS
First Name:GLORYANA
Middle Name:
Last Name:TORO
Suffix:
Gender:F
Credentials:SLP
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 367349
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-7349
Mailing Address - Country:US
Mailing Address - Phone:787-920-6659
Mailing Address - Fax:
Practice Address - Street 1:AL33 CALLE JOSEFINA
Practice Address - Street 2:URB. VILLA RICA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-4915
Practice Address - Country:US
Practice Address - Phone:787-920-6659
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-17
Last Update Date:2011-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1005235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist