MEDICARE: DR. JAIME DEL TORO SOTO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	5390	PR

General Provider Information

NPI Number	:	1316906365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAIME DEL TORO SOTO M.D.

Provider Business Mailing Address
First Line	:	652 AVE. MUNOZ RIVERA, SUITE 3195
Second Line	:
City	:	SAN JUAN
State	:	PUERTO RICO
Zip	:	00918 4261
Country	:	VG
Telephone Number	:	787-758-2775
Fax Number	:	787-250-6653

Provider Business Practice Location Address
First Line	:	AVE. MUNOZ RIVERA #652, SUITE 3195
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00918-4261
Country	:	US
Telephone Number	:	787-758-2775
Fax Number	:	787-250-6653

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2006
Last Update Date	:	12/01/2016

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