Healthcare Provider Details

I. General information

NPI: 1831142025
Provider Name (Legal Business Name): HECTOR T TOLEDO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 10/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1810 BIRMINGHAM AVE
JASPER AL
35501-5461
US

IV. Provider business mailing address

PO BOX 10824
BIRMINGHAM AL
35202-0824
US

V. Phone/Fax

Practice location:
  • Phone: 205-265-3531
  • Fax: 205-265-3534
Mailing address:
  • Phone: 205-322-1808
  • Fax: 205-322-1851

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME86376
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: