Healthcare Provider Details

I. General information

NPI: 1679404248
Provider Name (Legal Business Name): JUAN ALEJANDRO TORO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16334 SW 48TH ST
MIRAMAR FL
33027-4692
US

IV. Provider business mailing address

16334 SW 48TH ST
MIRAMAR FL
33027-4692
US

V. Phone/Fax

Practice location:
  • Phone: 786-661-7815
  • Fax:
Mailing address:
  • Phone: 786-661-7815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH27756
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: