Edgardo C Hidalgo, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

M001204 Issued in GU

Practice address

428 Chalan San Antonio
P and F Professional Manor Suite 101
Tamuning, GU 96913

Phone

(671) 647-4121

Fax

(671) 646-4429

NPI assigned

Jul 25, 2007

Last updated

Jul 25, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pediatric and Asthma Clinic

  dba Medfirst Physicians Group

  • Pediatrics Physician
  • Tamuning, GU
  • NPI 1720271059
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1619167871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 CHALAN SAN ANTONIO",
            "address_2": "P AND F PROFESSIONAL MANOR SUITE 101",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "671-647-4121",
            "fax_number": "671-646-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 CHALAN SAN ANTONIO",
            "address_2": "P AND F PROFESSIONAL MANOR SUITE 101",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "671-647-4121",
            "fax_number": "671-646-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIDALGO",
        "first_name": "EDGARDO",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GU",
            "license": "M001204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Health Partners, L.L.C.
• Health Services & Management Inc. (PMC Isla Health System)
• Tina Serena Heinrich, PA-C
• Bethany Helm, PA-C
• Diane M Hiatt, FNP
• William Clayton Hightower II, D.D.S.
• Megumi Homma, DC
• Joshua Honculada
• Mary Ann Sibug Honculada
• David D.Y. Hong, P.A.

• Pediatrics Physician in Tamuning, GU
• Providers in Tamuning, GU by specialty
• Pediatrics Physician in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.