Individual provider Active NPI

Marie Bernadine Hidalgo - Rivera, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Aguada, PR
National Provider Identifier
1881825362
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
18252 Issued in PR
Practice address
Edificio Centerplex Suite 309
Carr 2 KM 133.5 Bo Guanabano
Aguada, PR 00602
Phone
(787) 589-7272
NPI assigned
Aug 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 18252 PR Primary

Addresses

Primary practice location

Edificio Centerplex Suite 309
Carr 2 KM 133.5 Bo Guanabano
Aguada, PR 00602

Mailing address

106 Calle Dr Gonzalez
Aguada, PR 00602-2909
Phone (787) 589-7272

Other practice location 1

Ave. americo miranda Centro Medico
san juan, PR 00936
Phone (787) 777-3535 ext. 7141

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18252PRMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro House. LLC Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1249171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1881825362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 CALLE DR GONZALEZ",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006022909",
            "telephone_number": "787-589-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO CENTERPLEX SUITE 309",
            "address_2": "CARR 2 KM 133.5 BO GUANABANO",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-589-7272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Ave. americo miranda Centro Medico",
            "address_purpose": "LOCATION",
            "city": "san juan",
            "state": "PR",
            "postal_code": "00936",
            "country_code": "US",
            "telephone_number": "787-777-3535 x7141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIDALGO - RIVERA",
        "first_name": "MARIE",
        "middle_name": "BERNADINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "PR",
            "license": "18252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguada, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.