CHARLIE VIDAL MD, MPH, MBA
NPI 1114416708
General Practice in San Juan, PR
Active since May 09, 2018
About Charlie Vidal Md, Mph, Mba NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLIE VIDAL MD, MPH, MBA (NPI 1114416708) is an individual general practice provider in San Juan, Puerto Rico, licensed in Puerto Rico (16158-I) and active in the NPI registry since May 2018.
NPPES Registry Identity
NPI1114416708
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameCHARLIE VIDALCredential: MD, MPH, MBA
Location Address123 ST IN PUERTO RICOSan Juan, PR 00918
Mailing Address123 St In Puerto RicoSan Juan, PR 00918
Phone(787) 242-0101
Sole ProprietorYes
Enumeration DateMay 9, 2018
Last NPPES UpdateMarch 15, 20233 updates tracked since enumeration
NPPES CertifiedMarch 14, 2023
✔ NPI 1114416708 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 16158-I
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114416708, enumerated as an "individual" on May 09, 2018.
The provider is located at 123 ST IN PUERTO RICO SAN JUAN, PR 00918 and the phone number is (787) 242-0101.
General Practice with taxonomy code 208D00000X.
