Healthcare Provider Details

I. General information

NPI: 1659604775
Provider Name (Legal Business Name): CARIVETTE LYMARI TORO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2009
Last Update Date: 04/01/2024
Certification Date: 04/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

COND. CAMELOT 140 CARR.842 APT. 2602
SAN JUAN PR
00926
US

IV. Provider business mailing address

COND. CAMELOT 140 CARR.842 APT. 2602
SAN JUAN PR
00926
US

V. Phone/Fax

Practice location:
  • Phone: 787-731-4206
  • Fax:
Mailing address:
  • Phone: 787-731-4206
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number17692
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number17692
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: