MEDICARE: JORGE R TORO MD

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	207UN0902X	Nuclear Imaging & Therapy Physician	10991	PR
2	207UN0901X	Nuclear Cardiology Physician	10991	PR

General Provider Information

NPI Number	:	1447247044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORGE R TORO MD

Provider Business Mailing Address
First Line	:	434 CALLE SAN JULIAN
Second Line	:	URB SAGRADO CORAZON
City	:	SAN JUAN
State	:	PR
Zip	:	00926-4217
Country	:	US
Telephone Number	:	787-755-1811
Fax Number	:	787-763-1714

Provider Business Practice Location Address
First Line	:	1028 CALLE LOS ANGELES
Second Line	:	URB DEL CARMEN
City	:	SAN JUAN
State	:	PR
Zip	:	00923-2646
Country	:	US
Telephone Number	:	787-764-2355
Fax Number	:	787-763-1714

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

Provider Enumeration Date	:	09/29/2005
Last Update Date	:	08/23/2010

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Directions to “ JORGE R TORO MD” Practice Location

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