Provider Demographics
NPI:1649733395
Name:TORO, KATERINA EDITH
Entity type:Individual
Prefix:
First Name:KATERINA
Middle Name:EDITH
Last Name:TORO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 9 BOX 59196
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-9243
Mailing Address - Country:US
Mailing Address - Phone:787-653-5800
Mailing Address - Fax:
Practice Address - Street 1:BO LA BARRA K30 H5
Practice Address - Street 2:119F
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-0072
Practice Address - Country:US
Practice Address - Phone:787-745-0340
Practice Address - Fax:787-746-1780
Is Sole Proprietor?:No
Enumeration Date:2019-04-10
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17006104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4777140OtherDRIVERS LICENSE