Provider Demographics
NPI:1912063777
Name:BRITO, HILDA M (MD)
Entity Type:Individual
Prefix:
First Name:HILDA
Middle Name:M
Last Name:BRITO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME95342208000000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL276259500Medicaid