NELLY VIDAL DE JESUS – NPI #1306360888
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

NELLY VIDAL DE JESUS is a physician located in SAN JUAN, PR. NPPES has assigned the NPI number 1306360888 to NELLY VIDAL DE JESUS on July 27, 2017. 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 4 years ago on Jul 21, 2022. 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 NELLY VIDAL DE JESUS below.

NPI Profile for
NELLY VIDAL DE JESUS

NPI Number
1306360888
Enumeration Date

(about 9 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
NELLY VIDAL DE JESUS
Primary location
1503 CALLE PROF AUGUSTO RODRIGUEZ STE 600
SAN JUAN, PR 00909-2275
Phone: (787) 497-0800 Fax: (787) 982-6464
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

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 4041170

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.