Healthcare Provider Details

I. General information

NPI: 1447247044
Provider Name (Legal Business Name): JORGE R TORO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2005
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1028 CALLE LOS ANGELES URB DEL CARMEN
SAN JUAN PR
00923-2646
US

IV. Provider business mailing address

PO BOX 260097
SAN JUAN PR
00926-2617
US

V. Phone/Fax

Practice location:
  • Phone: 787-764-2355
  • Fax: 787-763-1714
Mailing address:
  • Phone: 787-764-2355
  • Fax: 787-763-1714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number10991
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code207UN0902X
TaxonomyNuclear Imaging & Therapy Physician
License Number10991
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: