Provider Demographics
NPI:1235011354
Name:TOLEDO MARRERO, MARIANGELLI (OTL)
Entity type:Individual
Prefix:
First Name:MARIANGELLI
Middle Name:
Last Name:TOLEDO MARRERO
Suffix:
Gender:F
Credentials:OTL
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 310
Mailing Address - Street 2:
Mailing Address - City:GARROCHALES
Mailing Address - State:PR
Mailing Address - Zip Code:00652-0310
Mailing Address - Country:US
Mailing Address - Phone:787-605-0164
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 1420
Practice Address - Street 2:
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-1420
Practice Address - Country:US
Practice Address - Phone:787-884-0732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR859225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics