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1770537417

NPI Code Detail

MEDICARE: JAIME TORO MD

MEDICARE: JAIME 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	2085R0202X	Diagnostic Radiology Physician	ME48674	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	11233	OTHER	FL	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770537417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAIME TORO MD

Provider Business Mailing Address
First Line	:	PO BOX 1847
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46206-1847
Country	:	US
Telephone Number	:	561-625-5036
Fax Number	:	561-318-7163

Provider Business Practice Location Address
First Line	:	3360 BURNS ROAD
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-4323
Country	:	US
Telephone Number	:	561-625-5036
Fax Number	:

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

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	03/11/2020

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Directions to “ JAIME TORO MD” Practice Location

Language	Start Address	Practice Location

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