Provider Demographics
NPI:1588328074
Name:ORTEGA, HILDA
Entity type:Individual
Prefix:
First Name:HILDA
Middle Name:
Last Name:ORTEGA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7270 MCARTHUR PKWY
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-7123
Mailing Address - Country:US
Mailing Address - Phone:954-270-3807
Mailing Address - Fax:954-966-8532
Practice Address - Street 1:7270 MCARTHUR PKWY
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-7123
Practice Address - Country:US
Practice Address - Phone:954-270-3807
Practice Address - Fax:954-966-8532
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-29
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QD1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities