Physician Compare National (NPI:1912108804)

HEALTHCARE PROVIDER: ELMER TORO M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1912108804
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4688869381
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101108000842
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TORO
	Individual professional last name
Provider First Name	ELMER
	Individual professional first name
Provider Middle Name	FRANCIS
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
	Individual professional's medical school
Graduation Year	1999
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	DERMATOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	DERMATOLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	391 LEE BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 400
	Group Practice or individual's line 2 address
City	LEHIGH ACRES
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	339364973
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100107
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LEHIGH REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y