Organization Name: | HIDALGO MEDICAL SERVICES |
NPI Number: | 1689881245 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL OTERO (CEO) |
Mailing Address: | 501 W 4th St Lordsburg |
State: | NM US |
Postal Code: | 880451643 |
Phone Number: | 5755423389 |
Fax Number: | 5755422388 |
NPI Enumeration Date: | 05/16/2007 |
NPI Last Update Date: | 03/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1000X |
License Number: | 7678 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NM |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Student Health |
Taxonomy Definition: |