Provider Demographics
NPI:1265625966
Name:BITHORN, HILDA M (OD)
Entity type:Individual
Prefix:
First Name:HILDA
Middle Name:M
Last Name:BITHORN
Suffix:
Gender:F
Credentials:OD
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Other - Last Name:
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Mailing Address - Street 1:277 VIA CUNDEAMOR
Mailing Address - Street 2:HACIENDA SAN JOSE
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-3029
Mailing Address - Country:US
Mailing Address - Phone:787-409-6224
Mailing Address - Fax:
Practice Address - Street 1:400 AVE FD ROOSEVELT
Practice Address - Street 2:CLINICA LAS AMERICAS SUITE 303
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-2103
Practice Address - Country:US
Practice Address - Phone:787-767-4350
Practice Address - Fax:787-282-8774
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-26
Last Update Date:2007-08-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR373152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist