Provider Demographics
NPI:1699878025
Name:TORO, LUIS A JR (DDS)
Entity type:Individual
Prefix:DR
First Name:LUIS
Middle Name:A
Last Name:TORO
Suffix:JR
Gender:M
Credentials:DDS
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Mailing Address - Street 1:13 MARBELLA ST
Mailing Address - Street 2:URB PASEO LAS BRISAS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-5945
Mailing Address - Country:US
Mailing Address - Phone:787-761-7835
Mailing Address - Fax:787-760-1105
Practice Address - Street 1:FAJARDO CARIBBEAN CINEMAS
Practice Address - Street 2:SUITE 205
Practice Address - City:FAJARDO
Practice Address - State:PR
Practice Address - Zip Code:00738
Practice Address - Country:US
Practice Address - Phone:787-860-7943
Practice Address - Fax:787-860-7113
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PR14481223X0400X
MD88941223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics