Provider Demographics
NPI:1629036900
Name:CANO, HILDA (MD)
Entity Type:Individual
Prefix:
First Name:HILDA
Middle Name:
Last Name:CANO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1425 WILD RIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-7460
Mailing Address - Country:US
Mailing Address - Phone:915-742-2273
Mailing Address - Fax:915-742-4933
Practice Address - Street 1:11335 SSG SIMS
Practice Address - Street 2:
Practice Address - City:FT BLISS
Practice Address - State:TX
Practice Address - Zip Code:79918-8003
Practice Address - Country:US
Practice Address - Phone:915-742-1446
Practice Address - Fax:915-742-4933
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA84317208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI23745Medicare UPIN