Provider Demographics
NPI:1295951572
Name:HILDA M BRITO MD PA
Entity type:Organization
Organization Name:HILDA M BRITO MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HILDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BRITO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-220-6917
Mailing Address - Street 1:12260 SW 8TH ST
Mailing Address - Street 2:SUITE 224
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33184-1551
Mailing Address - Country:US
Mailing Address - Phone:305-220-6917
Mailing Address - Fax:305-220-6977
Practice Address - Street 1:12260 SW 8TH ST
Practice Address - Street 2:SUITE 224
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33184-1551
Practice Address - Country:US
Practice Address - Phone:305-220-6917
Practice Address - Fax:305-220-6977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME95342208D00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL276259500Medicaid