Charlie Vidal Jr., MD
General Practice in Utuado, Puerto Rico
1114416708- Practice location
- 500 Calle Dr Isaac Gonzalez, Utuado, PR 00641-2635
- Phone
- 787-422-1894
- Fax
- —
- Last updated
- October 28, 2026
Charlie Vidal is a General Practice based in Utuado, PR. Charlie Vidal practices in Utuado, PR and has the professional credentials of MD. The NPI Number for Charlie Vidal is 1114416708 and holds a License No. 25043 (PR). The current practice location address for Charlie Vidal is 500 Calle Dr Isaac Gonzalez, Utuado, PR 00641-2635 and can be reached out via phone at 787-422-1894.
Provider Profile Details
- NPI Number
- 1114416708
- Provider Name
- Charlie Vidal
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 500 Calle Dr Isaac Gonzalez, Utuado, PR 00641-2635
- Phone Number
- 787-422-1894
- Primary Taxonomy
- General Practice · 208D00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 9, 2018
- Last Update Date
- October 28, 2026
- Certification Date
- October 28, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 500 Calle Dr Isaac Gonzalez
Utuado, PR 00641-2635 - City
- Utuado
- State
- Puerto Rico
- Zip
- 00641-2635
- Phone Number
- 787-422-1894
Provider Business Mailing Address Details
- Address
- Calle Hernandez Carrion
Manati, PR 00674 - City
- Manati
- State
- PR
- Zip
- 00674
- Phone Number
- 787-621-3700
License Information
- License Number
- 25043
- License State
- PR
- Taxonomy
- General Practice · 208D00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Charlie Vidal Jr., MD?
The NPI number of Charlie Vidal Jr., MD is 1114416708. It was assigned on May 9, 2018 and is currently active in the NPPES registry.
What is the specialty of Charlie Vidal Jr., MD?
Charlie Vidal Jr., MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 25043.
Where does Charlie Vidal Jr., MD practice?
The practice location is 500 Calle Dr Isaac Gonzalez, Utuado, PR 00641-2635. The office can be reached at 787-422-1894 (phone).
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 1114416708 directly on the NPPES registry website.