Healthcare Provider Details

I. General information

NPI: 1497210827
Provider Name (Legal Business Name): JOEL ALEJANDRO TORO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2019
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18TH MEDICAL GROUP UNIT 5268
APO AP
96368-5217
US

IV. Provider business mailing address

18TH MEDICAL GROUP UNIT 5268
APO AP
96368-5217
US

V. Phone/Fax

Practice location:
  • Phone: 315-630-4780
  • Fax:
Mailing address:
  • Phone: 315-630-4780
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101270087
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number0101270087
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: