Provider Demographics
NPI:1336217264
Name:PEREZ-TORO, ANGEL (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGEL
Middle Name:
Last Name:PEREZ-TORO
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:B5 CALLE 3
Mailing Address - Street 2:URB EL MIRADOR
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-7547
Mailing Address - Country:US
Mailing Address - Phone:787-647-3315
Mailing Address - Fax:
Practice Address - Street 1:#1 PUERTO RICO AVE.
Practice Address - Street 2:BONNEVILLE HEIGHTS
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727
Practice Address - Country:US
Practice Address - Phone:787-744-3675
Practice Address - Fax:787-258-2233
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8460208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRE30433Medicare UPIN
PR0081569Medicare ID - Type Unspecified