Provider Demographics
NPI:1871881631
Name:TOLEDO-CANDELARIO, ALLISON (MD)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:TOLEDO-CANDELARIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2770
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00613-2770
Mailing Address - Country:US
Mailing Address - Phone:787-680-7222
Mailing Address - Fax:787-881-0736
Practice Address - Street 1:452 AVE RIVERA AULET
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-4368
Practice Address - Country:US
Practice Address - Phone:787-680-7222
Practice Address - Fax:787-881-0736
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-14
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19051207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology