MEDICARE: MARIA DEL CARMEN HIDALGO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	242279	NY

General Provider Information

NPI Number	:	1194891101
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA DEL CARMEN HIDALGO

Provider Business Mailing Address
First Line	:	802 85TH ST
Second Line	:
City	:	NORTH BERGEN
State	:	NJ
Zip	:	07047-5141
Country	:	US
Telephone Number	:	201-982-2954
Fax Number	:

Provider Business Practice Location Address
First Line	:	571 ACADEMY ST APT GLE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10034-5105
Country	:	US
Telephone Number	:	212-567-0550
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	02/20/2026

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Directions to “ MARIA DEL CARMEN HIDALGO ” Practice Location

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