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NPI Code Detail

MEDICARE: ESTEFANY PENA HILARIO MD, RDMS, SG

MEDICARE:   ESTEFANY  PENA HILARIO  MD, RDMS, SG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician023978PR
22085U0001XDiagnostic Ultrasound Physician001288PR

General Provider Information

NPI Number : 1659060119
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESTEFANY PENA HILARIO MD, RDMS, SG
Provider Business Mailing Address
First Line : KM 11.7 PR-2
Second Line :
City : BAYAMON
State : PR
Zip : 00959
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : KM 11.7 PR-2
Second Line :
City : BAYAMON
State : PR
Zip : 00959
Country : US
Telephone Number : 787-620-8181
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2023
Last Update Date : 05/14/2026

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