Provider Demographics
NPI:1245348838
Name:TOLEDO, GLORIA C (MD)
Entity type:Individual
Prefix:DR
First Name:GLORIA
Middle Name:C
Last Name:TOLEDO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 8578
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00910-0578
Mailing Address - Country:US
Mailing Address - Phone:787-433-3700
Mailing Address - Fax:787-339-2700
Practice Address - Street 1:505 AVE HOSTOS
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3201
Practice Address - Country:US
Practice Address - Phone:787-902-6631
Practice Address - Fax:787-339-2700
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR15379208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice