Active NPIIndividual providerSole proprietor

Dr. Mary K Vidal O'Rourke

Psychologist, Clinical in Bayamon, Puerto Rico

NPI Number1114122231
Practice location
Edificio Medico Hermanas Davila Calle B, Esquina Jurb Urb. Hermanas Davila, Bayamon, PR 00959
Fax
787-778-2323
Last updated
July 8, 2007

Mary K. Vidal O'Rourke is a Psychologist, Clinical based in Bayamon, PR. Mary K. Vidal O'Rourke practices in Bayamon, PR. The NPI Number for Mary K. Vidal O'Rourke is 1114122231 and holds a License No. 961 (PR). The current practice location address for Mary K. Vidal O'Rourke is Edificio Medico Hermanas Davila Calle B, Esquina Jurb Urb. Hermanas Davila, Bayamon, PR 00959 and can be reached out via phone at 787-787-1314 and via fax at 787-778-2323.

Provider Profile Details

NPI Number
1114122231
Provider Name
Mary K. Vidal O'Rourke
Provider Entity Type
Individual
Gender
Female
Address
Edificio Medico Hermanas Davila Calle B, Esquina Jurb Urb. Hermanas Davila, Bayamon, PR 00959
Phone Number
787-787-1314
Fax Number
787-778-2323
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
June 19, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
Edificio Medico Hermanas Davila Calle B
Esquina Jurb Urb. Hermanas Davila
Bayamon, PR 00959
Zip
00959
Phone Number
787-787-1314
Fax Number
787-778-2323
Bayamon, PR 00959Get directions →

Provider Business Mailing Address Details

Address
Edificio Medico Hermanas Davila Calle B
Esquina Jurb Urb. Hermanas Davila
Bayamon, PR 00959
City
Bayamon
State
PR
Zip
00959
Phone Number
787-787-1314
Fax Number
787-778-2323

License Information

License Number
961
License State
PR
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Mary K Vidal O'Rourke?

The NPI number of Dr. Mary K Vidal O'Rourke is 1114122231. It was assigned on June 19, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Mary K Vidal O'Rourke?

Dr. Mary K Vidal O'Rourke is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in PR under license number 961.

Where does Dr. Mary K Vidal O'Rourke practice?

The practice location is Edificio Medico Hermanas Davila Calle B, Esquina Jurb Urb. Hermanas Davila, Bayamon, PR 00959. The office can be reached at 787-787-1314 (phone) or 787-778-2323 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114122231 directly on the NPPES registry website.

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