Healthcare Provider Details

I. General information

NPI: 1437248564
Provider Name (Legal Business Name): ELBA HILDA ALGARIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 04/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

H-43 FONT MARTIDLO AVE HOSP. RYDER MEMORIAL
HUMACAO PR
00791
US

IV. Provider business mailing address

P.O. BOX 9121 HUMACAO
HUMACAO PR
00792
US

V. Phone/Fax

Practice location:
  • Phone: 787-285-1106
  • Fax: 787-285-1105
Mailing address:
  • Phone: 787-285-1544
  • Fax: 787-285-1105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number4272
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number4272
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: