Provider Demographics
NPI:1265699094
Name:HIDALGO, MARITZA
Entity type:Individual
Prefix:
First Name:MARITZA
Middle Name:
Last Name:HIDALGO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:THE BEST
Other - Middle Name:G
Other - Last Name:EMERGENCY MEDICAL SERVICE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 524
Mailing Address - Street 2:
Mailing Address - City:MOCA
Mailing Address - State:PR
Mailing Address - Zip Code:00676-0524
Mailing Address - Country:US
Mailing Address - Phone:787-632-8227
Mailing Address - Fax:
Practice Address - Street 1:1 CARR 444
Practice Address - Street 2:BO PUEBLO SECTOR CUBA
Practice Address - City:MOCA
Practice Address - State:PR
Practice Address - Zip Code:00676-5213
Practice Address - Country:US
Practice Address - Phone:787-632-8227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTCAMB 5273416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport