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VIDALUS LLC
NPI 1699402255
Clinic/Center in San Juan, PR

Active since August 04, 2022
677 CALLE FELIPE GUTIERREZ, SAN JUAN, PR 00924(561) 578-1730 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Vidalus Llc NPPES

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

VIDALUS LLC (NPI 1699402255) is a healthcare organization registered as a clinic/center in San Juan, Puerto Rico and active in the NPI registry since August 2022. The organization lists Mark C Blackburn, Manager, as its authorized official.

NPPES Registry Identity

NPI1699402255
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameVIDALUS LLC
Location Address677 CALLE FELIPE GUTIERREZSan Juan, PR 00924-2207
Mailing Address31 Harbour Lights DrHumacao, PR 00791-6055 · (561) 578-1730
Phone(561) 578-1730
Organization SubpartNo
Authorized OfficialMark C BlackburnManager · (561) 578-1730
Enumeration DateAugust 4, 2022
Last NPPES UpdateOctober 18, 2024
NPPES CertifiedOctober 18, 2024
✔ NPI 1699402255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Other Names 1

Doing Business AsVidalus Llc

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 Vidalus LLC's NPI number?

The NPI number for Vidalus LLC is 1699402255. It was assigned to this organization in the NPPES registry on August 4, 2022.

Where is Vidalus LLC located?

Vidalus LLC is located at 677 Calle Felipe Gutierrez, San Juan, PR 00924. The listed phone number is (561) 578-1730.

What is Vidalus LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Vidalus LLC was last updated on October 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.