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NPI Code Detail

MEDICARE: DR. JORGE I DEL TORO M.D.

MEDICARE: DR. JORGE I DEL TORO M.D.
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
12080P0203XPediatric Critical Care Medicine PhysicianME 46612FL

General Provider Information

NPI Number : 1609825637
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JORGE I DEL TORO M.D.
Provider Business Mailing Address
First Line : 1301 CONCORD TER
Second Line :
City : SUNRISE
State : FL
Zip : 33323-2843
Country : US
Telephone Number : 954-384-0175
Fax Number : 954-858-0390
Provider Business Practice Location Address
First Line : 1301 CONCORD TER
Second Line :
City : SUNRISE
State : FL
Zip : 33323-2843
Country : US
Telephone Number : 954-384-0175
Fax Number : 954-858-0390
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2006
Last Update Date : 07/08/2007

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