Healthcare Provider Details

I. General information

NPI: 1669309209
Provider Name (Legal Business Name): PAOLA GABRIELA TOLEDO-ERAZO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 L ST NW
WASHINGTON DC
20001-2546
US

IV. Provider business mailing address

7736 GARRISON RD
HYATTSVILLE MD
20784-1727
US

V. Phone/Fax

Practice location:
  • Phone: 240-467-8383
  • Fax:
Mailing address:
  • Phone: 240-467-8384
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License NumberMD-10273673939
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: