Healthcare Provider Details

I. General information

NPI: 1992974281
Provider Name (Legal Business Name): GILBERT TOLEDO DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2008
Last Update Date: 03/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7765 SW 87TH AVE 109
MIAMI FL
33173
US

IV. Provider business mailing address

7765 SW 87TH AVE 109
MIAMI FL
33173
US

V. Phone/Fax

Practice location:
  • Phone: 305-270-3222
  • Fax: 305-270-2607
Mailing address:
  • Phone: 305-270-3222
  • Fax: 305-270-2607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License NumberDN0012082
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: