Provider Demographics
NPI:1447247044
Name:TORO, JORGE R (MD)
Entity type:Individual
Prefix:
First Name:JORGE
Middle Name:R
Last Name:TORO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:434 CALLE SAN JULIAN
Mailing Address - Street 2:URB SAGRADO CORAZON
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-4217
Mailing Address - Country:US
Mailing Address - Phone:787-755-1811
Mailing Address - Fax:787-763-1714
Practice Address - Street 1:1028 CALLE LOS ANGELES
Practice Address - Street 2:URB DEL CARMEN
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00923-2646
Practice Address - Country:US
Practice Address - Phone:787-764-2355
Practice Address - Fax:787-763-1714
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-29
Last Update Date:2010-08-23
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Provider Licenses
StateLicense IDTaxonomies
PR10991207UN0902X, 207UN0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207UN0902XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Imaging & Therapy
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR83910CMedicare ID - Type Unspecified
PRH32609Medicare UPIN
PR83370CMedicare ID - Type Unspecified