MEDICARE: ROLANDO TOYOS M.D.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	A63430	CA
2	207W00000X	Ophthalmology Physician	ME84619	FL
3	207W00000X	Ophthalmology Physician	18014	MS
4	207W00000X	Ophthalmology Physician	295577-1	NY
5	207W00000X	Ophthalmology Physician	MD30047	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1881743375	OTHER	TN	GROUP NPI #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962497826
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROLANDO TOYOS M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1798
Second Line	:	DEPT 07-004
City	:	MEMPHIS
State	:	TN
Zip	:	38101-1798
Country	:	US
Telephone Number	:	901-683-7255
Fax Number	:	901-683-3523

Provider Business Practice Location Address
First Line	:	6465 N QUAIL HOLLOW RD STE 100
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38120-1448
Country	:	US
Telephone Number	:	901-683-7255
Fax Number	:	901-683-3523

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2005
Last Update Date	:	04/13/2021

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Directions to “ ROLANDO TOYOS M.D.” Practice Location

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