Individual provider Active NPI

Wilbert Toro

  • Medical Physician Assistant
  • San German, PR
National Provider Identifier
1275301962
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
00822-PA Issued in PR
Practice address
Carr. 102 KM 36.0 Bo. Minillas
San German, PR 00683-4321
Phone
(787) 978-7225
Fax
(787) 680-0814
NPI assigned
Dec 13, 2023
Last updated
Dec 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 00822-PA PR Primary

Addresses

Primary practice location

Carr. 102 KM 36.0 Bo. Minillas
San German, PR 00683-4321

Mailing address

23 Calle Ensanche Ramirez
San German, PR 00683-4321
Phone (787) 478-2165

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

State licenses

LicenseStateTypeSpecialty
00822-PAPRMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Miranda Medical Services LLC PastSince Dec 17, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1275301962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CALLE ENSANCHE RAMIREZ",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006834321",
            "telephone_number": "787-478-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 102 KM 36.0 BO. MINILLAS",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006834321",
            "telephone_number": "787-978-7225",
            "fax_number": "787-680-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORO",
        "first_name": "WILBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "00822-PA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.