Healthcare Provider Details

I. General information

NPI: 1346573599
Provider Name (Legal Business Name): ROBERT TOLEDO DO LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2009
Last Update Date: 08/21/2024
Certification Date: 08/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2598 WINDMILL PKWY STE 110
HENDERSON NV
89074-5476
US

IV. Provider business mailing address

2598 WINDMILL PKWY STE 110
HENDERSON NV
89074-5476
US

V. Phone/Fax

Practice location:
  • Phone: 702-933-5544
  • Fax: 702-992-9954
Mailing address:
  • Phone: 702-933-5544
  • Fax: 702-992-9954

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number207VG0400X
License Number StateNV
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBERT TOLEDO
Title or Position: PRESIDENT
Credential: DO
Phone: 702-933-5544