Provider Demographics
NPI:1376060723
Name:HIDALGO SANCHEZ, BEIDA ELENA
Entity Type:Individual
Prefix:
First Name:BEIDA
Middle Name:ELENA
Last Name:HIDALGO SANCHEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10040 PERIWINKLE ST
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-3237
Mailing Address - Country:US
Mailing Address - Phone:305-728-9507
Mailing Address - Fax:
Practice Address - Street 1:10040 PERIWINKLE ST
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-3237
Practice Address - Country:US
Practice Address - Phone:305-728-9507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty