Provider Demographics
NPI:1740438191
Name:GARCIA TORO, ERNESTO R (MD)
Entity type:Individual
Prefix:DR
First Name:ERNESTO
Middle Name:R
Last Name:GARCIA 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:C17 CALLE 6
Mailing Address - Street 2:URB. VILLA OLIMPIA
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698-4305
Mailing Address - Country:US
Mailing Address - Phone:787-856-2080
Mailing Address - Fax:787-856-2080
Practice Address - Street 1:C17 CALLE 6
Practice Address - Street 2:URB. VILLA OLIMPIA
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698-4305
Practice Address - Country:US
Practice Address - Phone:787-856-2080
Practice Address - Fax:787-856-2080
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-28
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17298208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRCU006AOtherMEDICARE PTAN