NPI 1790995363 MRS. WANDA IVETTE VIDAL M.D. FAJARDO PR. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

NPI Look Up

Mrs. Wanda Ivette Vidal - NPI: 1790995363

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MRS. WANDA IVETTE VIDAL
NPI Number: 1790995363
Entity Type Code: Individual (1)
Gender: F
Credentials: M.D.
License Number: 15408
Business Practice Address: Ave. General Valero #404
Fajardo, PR - 00738
Business Phone Number: 7876550505
Business Fax Number: 7876555024
Mailing Address: Po Box 160,
FAJARDO
State: PR
Postal Code: 007380160
Phone Number: 7878633412
Fax Number: 7876555024
NPI Enumeration Date: 05/23/2007
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 208D00000X
License Number: 15408
Healthcare Provider Taxonomy:
(Secondary)
Y
State: PR
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: General Practice
Taxonomy Specialization:
Taxonomy Definition:


NPI Number Lookup by City
(For Example: San Jose)


© Npinolookup.com 2016
Disclaimer