Provider Demographics
NPI:1689064750
Name:HILDA TEJERO
Entity Type:Organization
Organization Name:HILDA TEJERO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HILDA
Authorized Official - Middle Name:
Authorized Official - Last Name:TEJERO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-596-9256
Mailing Address - Street 1:9495 SUNSET DR STE B190
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-5419
Mailing Address - Country:US
Mailing Address - Phone:305-596-9256
Mailing Address - Fax:305-596-7487
Practice Address - Street 1:9495 SUNSET DR STE B190
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-5419
Practice Address - Country:US
Practice Address - Phone:305-596-9256
Practice Address - Fax:305-596-7487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-28
Last Update Date:2015-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME477982080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty