Healthcare Provider Details

I. General information

NPI: 1912063777
Provider Name (Legal Business Name): HILDA M BRITO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/28/2006
Last Update Date: 10/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12260 SW 8TH ST SUITE 224
MIAMI FL
33184-1551
US

IV. Provider business mailing address

12260 SW 8TH ST SUITE 224
MIAMI FL
33184-1551
US

V. Phone/Fax

Practice location:
  • Phone: 305-220-6917
  • Fax: 305-220-6977
Mailing address:
  • Phone: 305-220-6917
  • Fax: 305-220-6977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME95342
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberME95342
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: