Provider Demographics
NPI:1982480141
Name:TORRES TOLEDO, HAMLET ISRAEL
Entity Type:Individual
Prefix:
First Name:HAMLET
Middle Name:ISRAEL
Last Name:TORRES TOLEDO
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 1:12 ALHAMBRA CIR APT 10
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-4657
Mailing Address - Country:US
Mailing Address - Phone:786-253-5477
Mailing Address - Fax:
Practice Address - Street 1:12 ALHAMBRA CIR APT 10
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-4657
Practice Address - Country:US
Practice Address - Phone:786-253-5477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-23-290204106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty