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NPI Code Detail

MEDICARE: ROSANNA HILARIO D.D.S

MEDICARE: ROSANNA HILARIO D.D.S
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
11223G0001XGeneral Practice DentistryDI020627NJ
21223G0001XGeneral Practice DentistryDN16744FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2014861OTHERNJAMERIGROUP ID NUMBER

General Provider Information

NPI Number : 1518033380
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSANNA HILARIO D.D.S
Provider Business Mailing Address
First Line : 244 PAULISON AVE
Second Line :
City : PASSAIC
State : NJ
Zip : 07055-3806
Country : US
Telephone Number : 973-778-7272
Fax Number :
Provider Business Practice Location Address
First Line : 2907 VINELAND RD
Second Line :
City : KISSIMMEE
State : FL
Zip : 34746-5505
Country : US
Telephone Number : 407-396-1288
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2006
Last Update Date : 04/17/2019

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Directions to “ ROSANNA HILARIO D.D.S” Practice Location

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