Provider Demographics
NPI:1912290156
Name:TOLEDO, KEILA E (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KEILA
Middle Name:E
Last Name:TOLEDO
Suffix:
Gender:F
Credentials:PHARMD
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 174
Mailing Address - Street 2:
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778-0174
Mailing Address - Country:US
Mailing Address - Phone:787-715-0500
Mailing Address - Fax:787-715-0594
Practice Address - Street 1:HC 40 BOX 43534
Practice Address - Street 2:
Practice Address - City:SAN LORENZO
Practice Address - State:PR
Practice Address - Zip Code:00754-9885
Practice Address - Country:US
Practice Address - Phone:787-715-0500
Practice Address - Fax:787-715-0594
Is Sole Proprietor?:No
Enumeration Date:2011-05-20
Last Update Date:2011-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5286183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist