# HILDA JUSTINIANO, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558699330
- **Authorized official:** HILDAMARI JUSTINIANO GARCIA M.D. (DERMATOLOGIST)
- **Authorized official phone:** (787) 806-2222

## Contact information

- **Practice address:** CARRETERA \#2 KM. 173.4, TORRE MEDICA SAN VICENTE DE PAUL \#301, SAN GERMAN, PR 00683
- **Practice address phone:** (787) 806-2222
- **Mailing address:** PO BOX 3047, MARINA STATION, MAYAGUEZ, PR 00681-3047
- **Mailing address phone:** (787) 806-2222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 15662 | PR | Yes |

## Other

- **Enumeration date:** 12/07/2009
- **Last updated:** 06/01/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1083818009 | NPI | PR |