Provider Demographics
NPI:1437551314
Name:DEL TORO DIEZ, ANDREA (MD)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:DEL TORO DIEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1518 EPIFANIO VIDAL
Mailing Address - Street 2:PASEO LOS ROBLES
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00682
Mailing Address - Country:US
Mailing Address - Phone:787-473-1214
Mailing Address - Fax:
Practice Address - Street 1:300 AVE DONA FELISA RINCON DE GAUTIER
Practice Address - Street 2:LAS VISTAS SHOPPING VILLAGE SUITE 1
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-936-2066
Practice Address - Fax:787-936-2066
Is Sole Proprietor?:No
Enumeration Date:2014-09-22
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR21393207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine