Provider Demographics
NPI:1831142025
Name:TOLEDO, HECTOR T (MD)
Entity Type:Individual
Prefix:
First Name:HECTOR
Middle Name:T
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:PO BOX 10824
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35202-0824
Mailing Address - Country:US
Mailing Address - Phone:205-322-1808
Mailing Address - Fax:205-322-1851
Practice Address - Street 1:1810 BIRMINGHAM AVE
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:AL
Practice Address - Zip Code:35501-5461
Practice Address - Country:US
Practice Address - Phone:205-265-3531
Practice Address - Fax:205-265-3534
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME86376207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00134560OtherPALMETTO GBA-RR MEDICARE
FL57942OtherBCBS
AL59170007OtherBCBS
AL009982095Medicaid
AL59170006OtherBCBS
C216OtherHEALTH OPTIONS
FL271841300Medicaid
P00134560OtherPALMETTO GBA-RR MEDICARE
C71590Medicare UPIN