Active NPI
Cesar E Hidalgo, M.D.
- Specialist
- Perry, FL
National Provider Identifier
1104072883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME0060690
- Practice address
- 333 N Byron Butler Pkwy
Perry, FL 32347-2300 - Phone
- (850) 584-0841
- Fax
- (850) 584-0834
- NPI assigned
- Aug 13, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME0060690 | FL | Primary |
Addresses
Primary practice location
333 N Byron Butler Pkwy
Perry, FL 32347-2300
Mailing address
1855 Hickory Trace Dr
Fleming Island, FL 32003-8389
Phone (904) 278-8726
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0060690 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tenet-Solantic Joint Venture LLC | Past | Accepting new patients | |
| Perry Emergency Physicians LLC | Past | Accepting new patients | |
| Bethesda/Solantic Joint Venture, LLC | Past | Accepting new patients | |
| DMH Emergency Physician Group, LLC | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Boynton Beach, FL
- NPI 1730329038
-
- Emergency Medicine Physician
- Perry, FL
- NPI 1922253665
-
- Emergency Medicine Physician
- Perry, FL
- NPI 1285679423
-
- Urgent Care Clinic/Center
- West Palm Beach, FL
- NPI 1104159755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267056000000",
"number": "1104072883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1855 HICKORY TRACE DR",
"city": "FLEMING ISLAND",
"state": "FL",
"postal_code": "320038389",
"telephone_number": "904-278-8726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 N BYRON BUTLER PKWY",
"city": "PERRY",
"state": "FL",
"postal_code": "323472300",
"telephone_number": "850-584-0841",
"fax_number": "850-584-0834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIDALGO",
"first_name": "CESAR",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-13",
"last_updated": "2010-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME0060690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Perry, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.