Healthcare Provider Details

I. General information

NPI: 1336516707
Provider Name (Legal Business Name): HILDA DELBREY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2015
Last Update Date: 09/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CIUDAD BUENOS AIRES CALLE PRIMAVERA E-1 BUZON1401
CIDRA PR
00739
UM

IV. Provider business mailing address

CIUDAD PRIMAVERA CALLE BUENOS AIRES E-1 BUZON 1401
CIDRA PR
00739
UM

V. Phone/Fax

Practice location:
  • Phone: 787-247-9542
  • Fax:
Mailing address:
  • Phone: 787-247-9542
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number35232
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: