Mrs. Wanda I Vidal, MD
General Practice in Fajardo, Puerto Rico
1790995363- Practice location
- Ave. General Valero #404, Fajardo, PR 00738
- Phone
- 787-655-0505
- Fax
- 787-655-5024
- Last updated
- July 8, 2007
Wanda Ivette Vidal is a General Practice based in Fajardo, PR. Wanda Ivette Vidal practices in Fajardo, PR and has the professional credentials of MD. The NPI Number for Wanda Ivette Vidal is 1790995363 and holds a License No. 15408 (PR). The current practice location address for Wanda Ivette Vidal is Ave. General Valero #404, Fajardo, PR 00738 and can be reached out via phone at 787-655-0505 and via fax at 787-655-5024.
Provider Profile Details
- NPI Number
- 1790995363
- Provider Name
- Wanda Ivette Vidal
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- Ave. General Valero #404, Fajardo, PR 00738
- Phone Number
- 787-655-0505
- Fax Number
- 787-655-5024
- Primary Taxonomy
- General Practice · 208D00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 23, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Ave. General Valero #404
Fajardo, PR 00738 - City
- Fajardo
- State
- Puerto Rico
- Zip
- 00738
- Phone Number
- 787-655-0505
- Fax Number
- 787-655-5024
Provider Business Mailing Address Details
- Address
- Po Box 160
Fajardo, PR 00738-0160 - City
- Fajardo
- State
- PR
- Zip
- 00738-0160
- Phone Number
- 787-863-3412
- Fax Number
- 787-655-5024
License Information
- License Number
- 15408
- 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. | |||
Other General Practice providers near Fajardo, PR
View all General Practice providers in Fajardo →- Adria Lebron Ayala, MDGeneral Practice · NPI 1093436693
- Arturo Hernandez Estrlla, MDGeneral Practice · NPI 1073734232
- Arturo Ortiz RamosGeneral Practice · NPI 1063537280
- Awilda A Franco-Matta, MDGeneral Practice · NPI 1649362690
- Carlos E Marin Cortes MD LLCGeneral Practice · NPI 1821958307
- Carlos M Zaccheus Soto, MDGeneral Practice · NPI 1659672186
Frequently Asked Questions
What is the NPI number of Mrs. Wanda I Vidal, MD?
The NPI number of Mrs. Wanda I Vidal, MD is 1790995363. It was assigned on May 23, 2007 and is currently active in the NPPES registry.
What is the specialty of Mrs. Wanda I Vidal, MD?
Mrs. Wanda I Vidal, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 15408.
Where does Mrs. Wanda I Vidal, MD practice?
The practice location is Ave. General Valero #404, Fajardo, PR 00738. The office can be reached at 787-655-0505 (phone) or 787-655-5024 (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 1790995363 directly on the NPPES registry website.