Provider Demographics
NPI:1104719079
Name:HIDALGO, EDUARDO J (PHD)
Entity type:Individual
Prefix:DR
First Name:EDUARDO
Middle Name:J
Last Name:HIDALGO
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:LA HACIENDA
Mailing Address - Street 2:11 CALLE MEDIALUNA
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725
Mailing Address - Country:US
Mailing Address - Phone:787-368-9066
Mailing Address - Fax:
Practice Address - Street 1:PEREZ MORRIS
Practice Address - Street 2:CALLE MAYAGUEZ 88-90
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917
Practice Address - Country:US
Practice Address - Phone:787-359-5637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3886103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist