Provider Demographics
NPI:1407886971
Name:TOLEDO-ARMADA, MILDRED M (MD)
Entity Type:Individual
Prefix:DR
First Name:MILDRED
Middle Name:M
Last Name:TOLEDO-ARMADA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:AMAPOK ST 49
Mailing Address - Street 2:VILLAS DEL-CAPITAN
Mailing Address - City:AREABO
Mailing Address - State:PR
Mailing Address - Zip Code:00612
Mailing Address - Country:US
Mailing Address - Phone:787-878-6134
Mailing Address - Fax:
Practice Address - Street 1:CARN #119 KM 35 2
Practice Address - Street 2:MHC INC
Practice Address - City:SAN SEBASTIAN
Practice Address - State:PR
Practice Address - Zip Code:00685
Practice Address - Country:US
Practice Address - Phone:787-896-1665
Practice Address - Fax:787-896-4570
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR4271208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
C78153Medicare UPIN