Provider Demographics
NPI:1083810816
Name:TOLEDO, ULISES MELENDEZ (MD)
Entity Type:Individual
Prefix:DR
First Name:ULISES
Middle Name:MELENDEZ
Last Name:TOLEDO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:354 CALLE UCAR
Mailing Address - Street 2:URB.VISTAS DE RIO GRANDE 1
Mailing Address - City:RIO GRANDE
Mailing Address - State:PR
Mailing Address - Zip Code:00745-9734
Mailing Address - Country:US
Mailing Address - Phone:787-274-8735
Mailing Address - Fax:
Practice Address - Street 1:966 CAMPAMENTO ZARZAL
Practice Address - Street 2:K.M.3 BARRIO LAS TRES T
Practice Address - City:RIO GRANDE
Practice Address - State:PR
Practice Address - Zip Code:00745
Practice Address - Country:US
Practice Address - Phone:787-888-0200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12769207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine