Provider Demographics
NPI:1437248564
Name:ALGARIN, ELBA HILDA (MD)
Entity type:Individual
Prefix:DR
First Name:ELBA
Middle Name:HILDA
Last Name:ALGARIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 9121 HUMACAO
Mailing Address - Street 2:
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00792
Mailing Address - Country:US
Mailing Address - Phone:787-285-1544
Mailing Address - Fax:787-285-1105
Practice Address - Street 1:H-43 FONT MARTIDLO AVE
Practice Address - Street 2:HOSP. RYDER MEMORIAL
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791
Practice Address - Country:US
Practice Address - Phone:787-285-1106
Practice Address - Fax:787-285-1105
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2012-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4272174400000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRD08324Medicare UPIN
PR25399Medicare ID - Type Unspecified