Individual provider Active NPI

Elba Cecilia Diaz Toro, D.M.D.

  • Prosthodontics
  • Carolina, PR
National Provider Identifier
1013157965
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
2222 Issued in PR
Practice address
1225 Calle Marginal Villamar
Carolina, PR 00979-6345
Phone
(787) 630-7397
NPI assigned
Mar 4, 2009
Last updated
Mar 4, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 2222 PR Primary

Addresses

Primary practice location

1225 Calle Marginal Villamar
Carolina, PR 00979-6345

Mailing address

1225 Calle Marginal Villamar
Carolina, PR 00979-6345
Phone (787) 630-7397

Other identifiers 1

IdentifierTypeStateIssuer
2222OtherPRPUERTO RICO STATE DENTIST LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2222PRMDClinical Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236124800000",
    "number": "1013157965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 CALLE MARGINAL VILLAMAR",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009796345",
            "telephone_number": "787-630-7397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 CALLE MARGINAL VILLAMAR",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009796345",
            "telephone_number": "787-630-7397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ TORO",
        "first_name": "ELBA",
        "middle_name": "CECILIA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-04",
        "last_updated": "2009-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "PR",
            "license": "2222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUERTO  RICO  STATE  DENTIST LICENSE",
            "identifier": "2222",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.