Provider Demographics
NPI:1700806866
Name:HILARIO, JOSE F (DPM)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:F
Last Name:HILARIO
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13423 BLANCO RD
Mailing Address - Street 2:#117
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-2187
Mailing Address - Country:US
Mailing Address - Phone:210-545-9100
Mailing Address - Fax:210-545-6966
Practice Address - Street 1:9050 FM 78
Practice Address - Street 2:
Practice Address - City:CONVERSE
Practice Address - State:TX
Practice Address - Zip Code:78109-1201
Practice Address - Country:US
Practice Address - Phone:210-659-3500
Practice Address - Fax:210-545-6966
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1723213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX175286704Medicaid
TX175288303Medicaid
TX8BT930OtherBCBS
TXP00428107OtherMEDICARE RAILROAD
TX175288301Medicaid
TX8L3376Medicare PIN
TX8F0598Medicare PIN
TX8BT930OtherBCBS
TX175288302Medicaid
TX175288301Medicaid
TX175286701Medicaid