Provider Demographics
NPI:1396061206
Name:ZAVALA-TORO, ROMUALDO (RPH, MS)
Entity type:Individual
Prefix:MR
First Name:ROMUALDO
Middle Name:
Last Name:ZAVALA-TORO
Suffix:
Gender:M
Credentials:RPH, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 CABRINI BLVD
Mailing Address - Street 2:APT. 117
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-3437
Mailing Address - Country:US
Mailing Address - Phone:191-734-9935
Mailing Address - Fax:121-223-8706
Practice Address - Street 1:227 MADISON ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-7537
Practice Address - Country:US
Practice Address - Phone:212-238-7071
Practice Address - Fax:212-238-7065
Is Sole Proprietor?:No
Enumeration Date:2010-04-16
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY27191183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist