Provider Demographics
NPI:1689368045
Name:HILARIO, MELIZA
Entity Type:Individual
Prefix:
First Name:MELIZA
Middle Name:
Last Name:HILARIO
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 1:10330 HALFHITCH DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515-2567
Mailing Address - Country:US
Mailing Address - Phone:907-382-7640
Mailing Address - Fax:
Practice Address - Street 1:10330 HALFHITCH DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99515-2567
Practice Address - Country:US
Practice Address - Phone:907-382-7640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator