Provider Demographics
NPI:1003825183
Name:TOLEDO, MARIA M (MD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:M
Last Name:TOLEDO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:100 GRAND PASEO BLVD # URB
Mailing Address - Street 2:PASEO MAYOR CALLE 1 E17
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-5905
Mailing Address - Country:US
Mailing Address - Phone:787-963-0039
Mailing Address - Fax:
Practice Address - Street 1:5153 N 9TH AVE STE 302
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-5719
Practice Address - Country:US
Practice Address - Phone:850-416-2250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-06
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME132270207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRCT571AOtherMEDICARE PTAN