MEDICARE: GERARDO L 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	208D00000X	General Practice Physician	11651	PR

General Provider Information

NPI Number	:	1972702793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GERARDO L TORO MD

Provider Business Mailing Address
First Line	:	14 CALLE BETANCES
Second Line	:
City	:	SANTA ISABEL
State	:	PR
Zip	:	00757-2632
Country	:	US
Telephone Number	:	787-845-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	14 CALLE BETANCES
Second Line	:
City	:	SANTA ISABEL
State	:	PR
Zip	:	00757-2632
Country	:	US
Telephone Number	:	787-845-6000
Fax Number	:

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

Provider Enumeration Date	:	07/12/2007
Last Update Date	:	12/06/2012

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Directions to “ GERARDO L TORO MD” Practice Location

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