Rayos, Glenn Hidalgo

Rayos, Glenn Hidalgo is an individual health care provider with primary practice located at 695 N Clyde Morris Blvd , Daytona Beach FL 32114. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Rayos, Glenn Hidalgo can be contacted via phone (386) 258-8722.

Contact Information

Primary practice address
695 N Clyde Morris Blvd Daytona Beach FL 32114
Phone: (386) 258-8722
Fax: (386) 258-8659
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME0070518 Florida
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X ME0070518 Florida
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X ME0070518 Florida

Profile Details

NPI number 1316902612
LBN Legal business name Rayos, Glenn Hidalgo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Aug 23rd, 2021 - about 3 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 1316902612 NPPES
Florida MEDICAID 250061200
Florida Other 31989

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