Healthcare Provider Details

I. General information

NPI: 1447392857
Provider Name (Legal Business Name): NANNETTE GERALDA TORO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

176 CALLE JOSE C VAZQUEZ BO.CAONILLAS
AIBONITO PR
00705-3309
US

IV. Provider business mailing address

22 CALLE GALICIA
VEGA ALTA PR
00692-8701
US

V. Phone/Fax

Practice location:
  • Phone: 787-735-8080
  • Fax:
Mailing address:
  • Phone: 787-564-2272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number12804
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: