Provider Demographics
NPI:1447214861
Name:HIDALGO, IGNACIO (MD)
Entity Type:Individual
Prefix:
First Name:IGNACIO
Middle Name:
Last Name:HIDALGO
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 1:1706 E SEMORAN BLVD
Mailing Address - Street 2:SUITE 115
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-5651
Mailing Address - Country:US
Mailing Address - Phone:407-889-0007
Mailing Address - Fax:407-889-5557
Practice Address - Street 1:1706 E SEMORAN BLVD
Practice Address - Street 2:SUITE 115
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-5651
Practice Address - Country:US
Practice Address - Phone:407-889-0007
Practice Address - Fax:407-889-5557
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-13
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME38388207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine