Healthcare Provider Details

I. General information

NPI: 1053227173
Provider Name (Legal Business Name): HYDRATE HEALTH AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 BAY ST
EASTON MD
21601-2745
US

IV. Provider business mailing address

11 BAY ST
EASTON MD
21601-2745
US

V. Phone/Fax

Practice location:
  • Phone: 443-521-1139
  • Fax:
Mailing address:
  • Phone: 443-521-1139
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AYMEE GONZALEZ GARRIDO
Title or Position: RN
Credential:
Phone: 443-521-1139