Provider Demographics
NPI:1417304296
Name:FUNEZ-ESCOBAR, HILDA (ARNP-BC)
Entity Type:Individual
Prefix:
First Name:HILDA
Middle Name:
Last Name:FUNEZ-ESCOBAR
Suffix:
Gender:F
Credentials:ARNP-BC
Other - Prefix:
Other - First Name:HILDA
Other - Middle Name:
Other - Last Name:FUNEZ-ESCOBAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP
Mailing Address - Street 1:634 SW 180TH AVE
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-4111
Mailing Address - Country:US
Mailing Address - Phone:201-988-9515
Mailing Address - Fax:
Practice Address - Street 1:9301 NW 33RD ST
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172
Practice Address - Country:US
Practice Address - Phone:305-437-1188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-20
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9299489363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily