- Practice location
- 677 Calle Felipe Gutierrez, San Juan, PR 00924-2207
- Phone
- 561-578-1730
- Fax
- —
- Last updated
- October 18, 2024
Vidalus LLC is a healthcare organization based in San Juan, PR. Vidalus LLC practices in San Juan, PR. The NPI Number for Vidalus LLC is 1699402255. The current practice location address for Vidalus LLC is 677 Calle Felipe Gutierrez, San Juan, PR 00924-2207 and can be reached out via phone at 561-578-1730.
Provider Profile Details
- NPI Number
- 1699402255
- Provider Name
- Vidalus LLC
- Provider Entity Type
- Organization
- Address
- 677 Calle Felipe Gutierrez, San Juan, PR 00924-2207
- Phone Number
- 561-578-1730
- Primary Taxonomy
- Clinic/Center · 261Q00000X
- Organization Subpart
- No
- Authorized Official
- Mr. Mark C Blackburn · Manager · 561-578-1730
- Other Names
- Vidalus LLC (Doing Business As)
- Provider Enumeration Date
- August 4, 2022
- Last Update Date
- October 18, 2024
- Certification Date
- October 18, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 677 Calle Felipe Gutierrez
San Juan, PR 00924-2207 - City
- San Juan
- State
- Puerto Rico
- Zip
- 00924-2207
- Phone Number
- 561-578-1730
Provider Business Mailing Address Details
- Address
- 31 Harbour Lights Dr
Humacao, PR 00791-6055 - City
- Humacao
- State
- PR
- Zip
- 00791-6055
- Phone Number
- 561-578-1730
License Information
- Taxonomy
- Clinic/Center · 261Q00000X · 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 Vidalus LLC?
The NPI number of Vidalus LLC is 1699402255. It was assigned on August 4, 2022 and is currently active in the NPPES registry.
What is the specialty of Vidalus LLC?
Vidalus LLC is registered under the primary taxonomy Clinic/Center (code 261Q00000X).
Where does Vidalus LLC practice?
The practice location is 677 Calle Felipe Gutierrez, San Juan, PR 00924-2207. The office can be reached at 561-578-1730 (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 1699402255 directly on the NPPES registry website.