Active NPIIndividual provider

Nelly Vidal De Jesus

General Practice in San Juan, Puerto Rico

NPI Number1306360888
Practice location
1503 Calle Prof Augusto Rodriguez Ste 600, San Juan, PR 00909-2275
Fax
787-982-6464
Last updated
July 21, 2022

Nelly Vidal De Jesus is a General Practice based in San Juan, PR. Nelly Vidal De Jesus practices in San Juan, PR. The NPI Number for Nelly Vidal De Jesus is 1306360888 and holds a License No. 4041170 (PR). The current practice location address for Nelly Vidal De Jesus is 1503 Calle Prof Augusto Rodriguez Ste 600, San Juan, PR 00909-2275 and can be reached out via phone at 787-497-0800 and via fax at 787-982-6464.

Provider Profile Details

NPI Number
1306360888
Provider Name
Nelly Vidal De Jesus
Provider Entity Type
Individual
Gender
Female
Address
1503 Calle Prof Augusto Rodriguez Ste 600, San Juan, PR 00909-2275
Phone Number
787-497-0800
Fax Number
787-982-6464
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
No
Provider Enumeration Date
July 27, 2017
Last Update Date
July 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1503 Calle Prof Augusto Rodriguez Ste 600
San Juan, PR 00909-2275
Zip
00909-2275
Phone Number
787-497-0800
Fax Number
787-982-6464
San Juan, PR 00909Get directions →

Provider Business Mailing Address Details

Address
1503 Calle Prof Augusto Rodriguez Ste 600
San Juan, PR 00909-2275
City
San Juan
State
PR
Zip
00909-2275
Phone Number
787-497-0800
Fax Number
787-982-6464

License Information

License Number
4041170
License State
PR
Taxonomy
General Practice · 208D00000X · 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 Nelly Vidal De Jesus?

The NPI number of Nelly Vidal De Jesus is 1306360888. It was assigned on July 27, 2017 and is currently active in the NPPES registry.

What is the specialty of Nelly Vidal De Jesus?

Nelly Vidal De Jesus is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 4041170.

Where does Nelly Vidal De Jesus practice?

The practice location is 1503 Calle Prof Augusto Rodriguez Ste 600, San Juan, PR 00909-2275. The office can be reached at 787-497-0800 (phone) or 787-982-6464 (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 1306360888 directly on the NPPES registry website.

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