Hidalgo, Ausberto Bienvenido

Hidalgo, Ausberto Bienvenido is an individual health care provider with primary practice located at 302 Nw 179Th Avenue Suite 103, Pembroke Pines FL 33029-2810. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Hidalgo, Ausberto Bienvenido can be contacted via phone (954) 442-8380.

Contact Information

Primary practice address
302 Nw 179Th Avenue Suite 103 Pembroke Pines FL 33029-2810
Phone: (954) 442-8380
Fax: (954) 442-8661
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME0053208 Florida

Profile Details

NPI number 1144385592
LBN Legal business name Hidalgo, Ausberto Bienvenido
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Jan 20th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144385592 NPPES
Florida MEDICAID 049046600

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