Provider Demographics
NPI:1366536302
Name:TORO MONTALVO, PEDRO E (MD)
Entity type:Individual
Prefix:
First Name:PEDRO
Middle Name:E
Last Name:TORO MONTALVO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE LAREDO Q28
Mailing Address - Street 2:URB VISTA BELLA
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956
Mailing Address - Country:US
Mailing Address - Phone:787-415-8566
Mailing Address - Fax:
Practice Address - Street 1:J9 CALLE 9
Practice Address - Street 2:DOCTOR CENTER BAYAMON
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956-5636
Practice Address - Country:US
Practice Address - Phone:787-786-8856
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2012-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10570208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
82806Medicare ID - Type Unspecified
F47563Medicare UPIN