CHARLIE VIDAL MD, MPH, MBA – NPI #1114416708
General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
CHARLIE VIDAL is a physician located in SAN JUAN, PR. NPPES has assigned the NPI number 1114416708 to CHARLIE VIDAL on May 09, 2018. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.
The NPI profile was previously updated about 3 years ago on Mar 15, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHARLIE VIDAL below.
NPI Profile for
CHARLIE VIDAL
(more than 8 years ago)
SAN JUAN, PR 00918 Phone: (787) 242-0101 Fax:
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 208D00000X - General Practice (Primary) |
PR | 16158-I |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.