Active NPIIndividual provider

Mr. Raul Vidoudez, NP

Nurse Practitioner, Family in East Boston, Massachusetts

NPI Number1548685779
Practice location
10 Gove St, East Boston, MA 02128-1920
Fax
617-568-4780
Last updated
April 7, 2015

Raul Vidoudez is a Nurse Practitioner, Family based in East Boston, MA. Raul Vidoudez practices in East Boston, MA and has the professional credentials of NP. The NPI Number for Raul Vidoudez is 1548685779 and holds a License No. RN281314 (MA). The current practice location address for Raul Vidoudez is 10 Gove St, East Boston, MA 02128-1920 and can be reached out via phone at 617-569-5800 and via fax at 617-568-4780.

Provider Profile Details

NPI Number
1548685779
Provider Name
Raul Vidoudez
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
10 Gove St, East Boston, MA 02128-1920
Phone Number
617-569-5800
Fax Number
617-568-4780
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Other Names
Mr. Raul Villegas, NP (Former Name)
Provider Enumeration Date
February 25, 2014
Last Update Date
April 7, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Gove St
East Boston, MA 02128-1920
Zip
02128-1920
Phone Number
617-569-5800
Fax Number
617-568-4780
East Boston, MA 02128Get directions →

Provider Business Mailing Address Details

Address
10 Gove St
East Boston, MA 02128-1920
City
East Boston
State
MA
Zip
02128-1920
Phone Number
617-569-5800
Fax Number
617-568-4780

License Information

License Number
RN281314
License State
MA
Taxonomy
Nurse Practitioner, Family · 363LF0000X · 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 Mr. Raul Vidoudez, NP?

The NPI number of Mr. Raul Vidoudez, NP is 1548685779. It was assigned on February 25, 2014 and is currently active in the NPPES registry.

What is the specialty of Mr. Raul Vidoudez, NP?

Mr. Raul Vidoudez, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN281314.

Where does Mr. Raul Vidoudez, NP practice?

The practice location is 10 Gove St, East Boston, MA 02128-1920. The office can be reached at 617-569-5800 (phone) or 617-568-4780 (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 1548685779 directly on the NPPES registry website.

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