Provider Demographics
NPI:1578985537
Name:VITIELLO TOLEDO, MAGALYS AMARILIS (MD)
Entity Type:Individual
Prefix:DR
First Name:MAGALYS
Middle Name:AMARILIS
Last Name:VITIELLO TOLEDO
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:20801 NW 2ND AVE
Mailing Address - Street 2:CHEN MEDICAL COUNTY LINE
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169-2103
Mailing Address - Country:US
Mailing Address - Phone:305-653-1770
Mailing Address - Fax:305-650-0672
Practice Address - Street 1:20801 NW 2ND AVE
Practice Address - Street 2:CHEN MEDICAL COUNTY LINE
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33169-2103
Practice Address - Country:US
Practice Address - Phone:305-653-1770
Practice Address - Fax:305-650-0672
Is Sole Proprietor?:No
Enumeration Date:2014-01-10
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME119561207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine