Provider Demographics
NPI:1710069331
Name:HIDALGO, RITZEL M (PT, DPT, ATRIC)
Entity Type:Individual
Prefix:DR
First Name:RITZEL
Middle Name:M
Last Name:HIDALGO
Suffix:
Gender:F
Credentials:PT, DPT, ATRIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AT10 CALLE RIO OROCOVIS
Mailing Address - Street 2:VALLE VERDE I
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-3255
Mailing Address - Country:US
Mailing Address - Phone:787-603-7981
Mailing Address - Fax:
Practice Address - Street 1:264 CALLE CONVENTO
Practice Address - Street 2:
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00912-3207
Practice Address - Country:US
Practice Address - Phone:787-723-7554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2015-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1266225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist