Provider Demographics
NPI:1598723389
Name:TOLEDO, ROBERT (DO LTD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:TOLEDO
Suffix:
Gender:M
Credentials:DO LTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1552 W WARM SPRINGS RD STE 100
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-4328
Mailing Address - Country:US
Mailing Address - Phone:702-743-7995
Mailing Address - Fax:702-992-9954
Practice Address - Street 1:1552 W WARM SPRINGS RD STE 100
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-4328
Practice Address - Country:US
Practice Address - Phone:702-743-7995
Practice Address - Fax:702-992-9954
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-02
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1057207QA0401X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H06667Medicare UPIN