Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | ME56388 | FL |
NPI | 1023016540 |
---|---|
Provider Name | Dr. Jose R Toledo |
First Address | Miami, FL 33163-0127 |
Second Address | Miami Beach, FL 33140-2891 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2005 |
Last Update Date | 01/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
062702000 | (05) | FL |
E22555 | (02) |