Provider Demographics
NPI:1386044188
Name:MURO TOLEDO, GUSTAVO EMILIO
Entity type:Individual
Prefix:
First Name:GUSTAVO
Middle Name:EMILIO
Last Name:MURO TOLEDO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12411 BISCAYNE BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-2520
Mailing Address - Country:US
Mailing Address - Phone:305-987-7543
Mailing Address - Fax:305-672-5461
Practice Address - Street 1:12411 BISCAYNE BLVD
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-2520
Practice Address - Country:US
Practice Address - Phone:305-987-7543
Practice Address - Fax:305-672-5461
Is Sole Proprietor?:No
Enumeration Date:2014-08-28
Last Update Date:2025-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11039016363LF0000X
246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant