NELLY VIDAL DE JESUS
NPI 1306360888
General Practice in San Juan, PR

Q: What is Nelly Vidal De Jesus's NPI number?

The NPI number for Nelly Vidal De Jesus is 1306360888. It was assigned to this individual provider in the NPPES registry on July 27, 2017.

Q: What is Nelly Vidal De Jesus's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since July 27, 2017

1503 CALLE PROF AUGUSTO RODRIGUEZ STE 600, SAN JUAN, PR 00909(787) 497-0800(787) 982-6464 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jul 27, 2017 (2 updates tracked since 2017).

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About Nelly Vidal De Jesus NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NELLY VIDAL DE JESUS (NPI 1306360888) is an individual general practice provider in San Juan, Puerto Rico, licensed in Puerto Rico (4041170) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1306360888

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameNELLY VIDAL DE JESUS

Location Address1503 CALLE PROF AUGUSTO RODRIGUEZ STE 600San Juan, PR 00909-2275

Mailing Address1503 Calle Prof Augusto Rodriguez Ste 600San Juan, PR 00909-2275 · (787) 497-0800 · Fax (787) 982-6464

Phone(787) 497-0800

Fax(787) 982-6464

Sole ProprietorNo

Enumeration DateJuly 27, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1306360888 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 · 4041170

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NELLY MATILDE FRANCESCHINI LND

Nutritionist

1503 CALLE PROF AUGUSTO RODRIGUEZ STE 600
SAN JUAN, PR 00909

San Juan Municipio (787) 453-3512

ARNALDO ANDRES RIVERA GORDON

Registered Nurse

1503 CALLE PROF AUGUSTO RODRIGUEZ STE 600
SAN JUAN, PR 00909

San Juan Municipio (787) 497-0800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nelly Vidal De Jesus's NPI number?

The NPI number for Nelly Vidal De Jesus is 1306360888. It was assigned to this individual provider in the NPPES registry on July 27, 2017.

Where is Nelly Vidal De Jesus located?

Nelly Vidal De Jesus practices at 1503 Calle Prof Augusto Rodriguez Ste 600, San Juan, PR 00909. The listed phone number is (787) 497-0800.

What is Nelly Vidal De Jesus's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Nelly Vidal De Jesus was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.