Provider Demographics
NPI:1295282986
Name:HURTADO FIEL, ROBERTO JOSE (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERTO
Middle Name:JOSE
Last Name:HURTADO FIEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 CALLE RAUL JULIA
Mailing Address - Street 2:CERRO GORDO HILLS BEACH VILLAS
Mailing Address - City:VEGA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00692
Mailing Address - Country:US
Mailing Address - Phone:787-562-7074
Mailing Address - Fax:
Practice Address - Street 1:4 CALLE RAUL JULIA
Practice Address - Street 2:CERRO GORDO HILLS BEACH VILLAS
Practice Address - City:VEGA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00692
Practice Address - Country:US
Practice Address - Phone:787-562-7074
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-09
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program