Provider Demographics
NPI:1770933376
Name:BELTRE, HILARIO
Entity type:Individual
Prefix:
First Name:HILARIO
Middle Name:
Last Name:BELTRE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 SMITH ST
Mailing Address - Street 2:A
Mailing Address - City:PERTH AMBOY
Mailing Address - State:NJ
Mailing Address - Zip Code:08861-4413
Mailing Address - Country:US
Mailing Address - Phone:732-442-0051
Mailing Address - Fax:732-441-0056
Practice Address - Street 1:71 SMITH ST
Practice Address - Street 2:A
Practice Address - City:PERTH AMBOY
Practice Address - State:NJ
Practice Address - Zip Code:08861-4413
Practice Address - Country:US
Practice Address - Phone:732-442-0051
Practice Address - Fax:732-441-0056
Is Sole Proprietor?:No
Enumeration Date:2016-06-15
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ31TD00365800156FX1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1100XEye and Vision Services ProvidersTechnician/TechnologistOphthalmic