Provider Demographics
NPI:1811745987
Name:TOLEDO, XAVIER MIGUEL (RD)
Entity type:Individual
Prefix:
First Name:XAVIER
Middle Name:MIGUEL
Last Name:TOLEDO
Suffix:
Gender:M
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 L ST SE APT 115
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-5407
Mailing Address - Country:US
Mailing Address - Phone:774-287-1389
Mailing Address - Fax:
Practice Address - Street 1:601 L ST SE APT 115
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-5407
Practice Address - Country:US
Practice Address - Phone:774-287-1389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDI200001659133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered