Individual
DR. AUSBERTO BIENVENIDO HIDALGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
302 NW 179TH AVENUE, SUITE 103, PEMBROKE PINES, FL 33029-2810
(954) 442-8380
(954) 442-8661
Mailing address
302 NW 179TH AVENUE, SUITE 103, PEMBROKE PINES, FL 33029-2810
(954) 442-8380
(954) 442-8661
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME0053208
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049046600
—
FL
Enumeration date
12/26/2006
Last updated
01/20/2015
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