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Individual
DR. DENNIS M HURTADO
Active
Individual
DR. DENNIS M HURTADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
24082
AL
207Q00000X
Family Medicine Physician
268199-1
NY
207Q00000X
Family Medicine Physician
L6070
TX
207Q00000X
Family Medicine Physician
Primary
MD2013-0983
NM
207Q00000X
Family Medicine Physician
ME105326
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24082
STATE LICENSE
AL
01
—
268199-1
STATE LICENSE
NY
01
—
E869
GROUP MDCR
—
01
—
L6070
ALLOPATHIC PHYSICIAN LIC
TX
01
—
MD2013-0983
STATE LICENSE
NM
01
—
ME105326
STATE LICENSE
FL
Enumeration date
08/05/2006
Last updated
07/25/2016
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