Healthcare Provider Details
I. General information
NPI: 1154408532
Provider Name (Legal Business Name): HILDA M VILA PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/01/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1452 AVE ASHFORD CONDOMINIO ADA LIGIA SUITE 308
SAN JUAN PR
00907-1581
US
IV. Provider business mailing address
260 CALLE DEL SOL APT. 3-1
SAN JUAN PR
00901-1416
US
V. Phone/Fax
- Phone: 787-616-7340
- Fax:
- Phone: 787-616-7340
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | 2707 |
| License Number State | PR |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TH0100X |
| Taxonomy | Health Service Psychologist |
| License Number | 2707 |
| License Number State | PR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: