Provider Demographics
NPI:1013449602
Name:TOLEDO MARRERO, RIGOBERTO M
Entity Type:Individual
Prefix:
First Name:RIGOBERTO
Middle Name:M
Last Name:TOLEDO MARRERO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9925 SW 139TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-6729
Mailing Address - Country:US
Mailing Address - Phone:305-975-8637
Mailing Address - Fax:
Practice Address - Street 1:9925 SW 139TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-6729
Practice Address - Country:US
Practice Address - Phone:305-975-8637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-01
Last Update Date:2017-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral