MEDICARE: HELEN M OQUENDO DEL TORO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	MD2018-0597	NM
2	2080A0000X	Pediatric Adolescent Medicine Physician	19235	PR
3	390200000X	Student in an Organized Health Care Education/Training Program
4	207VG0400X	Gynecology Physician	19235	PR

General Provider Information

NPI Number	:	1326302266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HELEN M OQUENDO DEL TORO MD

Provider Business Mailing Address
First Line	:	3303 CALLE DONA JUANA
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00716-4833
Country	:	US
Telephone Number	:	787-478-7334
Fax Number	:

Provider Business Practice Location Address
First Line	:	252 CALLE SAN JORGE STE 403
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00912-3241
Country	:	US
Telephone Number	:	788-478-7334
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2012
Last Update Date	:	11/18/2021

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