Basic Information
Provider Information
NPI: 1154874733
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TORO-MARRERO
FirstName: ELBIA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: D1 VISTAS DEL TURABO
Address2:  
City: CAGUAS
State: PR
PostalCode: 00725
CountryCode: US
TelephoneNumber: 7876921761
FaxNumber:  
Practice Location
Address1: 917 AVE TITO CASTRO
Address2:  
City: PONCE
State: PR
PostalCode: 007336810
CountryCode: US
TelephoneNumber: 7878442080
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/29/2016
LastUpdateDate: 07/06/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/06/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X21827PRY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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