Provider Demographics
NPI:1104648385
Name:TOLEDO ALVAREZ, DIANA E (PHARM D)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:E
Last Name:TOLEDO ALVAREZ
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 CALLE MANUEL G TAVARES
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00728-2510
Mailing Address - Country:US
Mailing Address - Phone:939-257-9999
Mailing Address - Fax:
Practice Address - Street 1:160 CALLE LUIS MUNOZ RIVERA
Practice Address - Street 2:
Practice Address - City:GUAYANILLA
Practice Address - State:PR
Practice Address - Zip Code:00656-1841
Practice Address - Country:US
Practice Address - Phone:787-835-2370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-29
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6447183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist