Provider Demographics
NPI:1871560185
Name:TOSCA, GERARDO JAVIER (MD)
Entity type:Individual
Prefix:DR
First Name:GERARDO
Middle Name:JAVIER
Last Name:TOSCA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:D11 CALLE ZENOBIA
Mailing Address - Street 2:VILLAS DE CUPEY
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-7610
Mailing Address - Country:US
Mailing Address - Phone:787-999-0889
Mailing Address - Fax:787-999-0891
Practice Address - Street 1:349 AVE. FELISA RINCON DE GAUTIER
Practice Address - Street 2:SUITE 202 PASEO LAS CUMBRES
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-6675
Practice Address - Country:US
Practice Address - Phone:787-999-0889
Practice Address - Fax:787-999-0891
Is Sole Proprietor?:No
Enumeration Date:2006-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR12363208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics