Provider Demographics
NPI:1316439326
Name:HUERTAS TOLEDO, JAIME ANTONIO (MD)
Entity type:Individual
Prefix:DR
First Name:JAIME
Middle Name:ANTONIO
Last Name:HUERTAS TOLEDO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:METROPOLITAN HOSPITAL CENTER
Mailing Address - Street 2:1901 FIRST AVENUE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029
Mailing Address - Country:US
Mailing Address - Phone:212-423-6058
Mailing Address - Fax:
Practice Address - Street 1:METROPOLITAN HOSPITAL CENTER
Practice Address - Street 2:1901 FIRST AVENUE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029
Practice Address - Country:US
Practice Address - Phone:212-423-6058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-05
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY311753208D00000X
NY390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice