| Organization Name: | HIDALGO MEDICAL SERVICES |
| NPI Number: | 1073506911 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIEL OTERO (CEO) |
| Mailing Address: | 1107 Tom Foy Blvd Bayard |
| State: | NM US |
| Postal Code: | 880239793 |
| Phone Number: | 5755345069 |
| Fax Number: | 5755422388 |
| NPI Enumeration Date: | 08/25/2005 |
| NPI Last Update Date: | 03/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QS1000X |
| License Number: | 200740 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Student Health |
| Taxonomy Definition: | |