Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1100X | Ophthalmic | 31TD00365800 | NJ |
NPI | 1770933376 |
---|---|
Provider Name | Hilario Beltre |
First Address | Perth Amboy, NJ 08861-4413 |
Second Address | Perth Amboy, NJ 08861-4413 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2016 |
Last Update Date | 15/06/2016 |