Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist |
NPI | 1013449602 |
---|---|
Provider Name | Rigoberto M Toledo Marrero |
First Address | Miami, FL 33176-6729 |
Second Address | Miami, FL 33176-6729 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2017 |
Last Update Date | 01/04/2017 |