Basic Information
Provider Information
NPI: 1003013194
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DEL TORO
FirstName: FERNANDO
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: DEL TORO
OtherFirstName: FERNANDO
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: M.D.
OtherLastNameType: 2
Mailing Information
Address1: UNIVERSITY DISTRICT HOSPITAL
Address2: MEDICAL CENTER UDH ADULT 2
City: SAN JUAN
State: PR
PostalCode: 009222116
CountryCode: US
TelephoneNumber: 7877540101
FaxNumber:  
Practice Location
Address1: UNIVERSITY DISTRICT HOSPITAL
Address2: MEDICAL CENTER UDH ADULT 2
City: SAN JUAN
State: PR
PostalCode: 009222116
CountryCode: US
TelephoneNumber: 7877540101
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/02/2007
LastUpdateDate: 08/14/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208D00000X17267PRY Allopathic & Osteopathic PhysiciansGeneral Practice 

No ID Information.


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