Provider Demographics
NPI:1740726363
Name:TOLEDO, SANDRA II
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:TOLEDO
Suffix:II
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8460 SW 156TH PL
Mailing Address - Street 2:APT 714
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-1272
Mailing Address - Country:US
Mailing Address - Phone:786-873-2126
Mailing Address - Fax:
Practice Address - Street 1:8460 SW 156TH PL
Practice Address - Street 2:APT 714
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-1272
Practice Address - Country:US
Practice Address - Phone:786-873-2126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-07
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician