Provider Demographics
NPI:1154408532
Name:VILA, HILDA M (PHD)
Entity type:Individual
Prefix:DR
First Name:HILDA
Middle Name:M
Last Name:VILA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 CALLE DEL SOL
Mailing Address - Street 2:APT. 3-1
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00901-1416
Mailing Address - Country:US
Mailing Address - Phone:787-616-7340
Mailing Address - Fax:
Practice Address - Street 1:1452 AVE ASHFORD
Practice Address - Street 2:CONDOMINIO ADA LIGIA SUITE 308
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-1581
Practice Address - Country:US
Practice Address - Phone:787-616-7340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2707103T00000X, 103TH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service