MEDICARE: TOLEDO AND ASSOCIATES LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	363LF0000X	Family Nurse Practitioner
3	207VG0400X	Gynecology Physician
4	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1780232421
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOLEDO AND ASSOCIATES LTD

Provider Business Mailing Address
First Line	:	1546 W WARM SPRINGS RD STE 100
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-4326
Country	:	US
Telephone Number	:	702-616-0000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1546 W WARM SPRINGS RD STE 100
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-4326
Country	:	US
Telephone Number	:	702-616-0000
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ROBERT TOLEDO
Credential	:	DO
Telephone Number	:	702-616-0000

Provider Enumeration Date	:	08/27/2019
Last Update Date	:	08/27/2019

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