Provider Demographics
NPI:1003895038
Name:BEJAR, HUGO VICTOR (MD)
Entity Type:Individual
Prefix:DR
First Name:HUGO
Middle Name:VICTOR
Last Name:BEJAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:795 S FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-5401
Mailing Address - Country:US
Mailing Address - Phone:954-923-4646
Mailing Address - Fax:
Practice Address - Street 1:795 S FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-5401
Practice Address - Country:US
Practice Address - Phone:954-923-4646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-09
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0042889207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D63162Medicare UPIN
94233Medicare ID - Type Unspecified