Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLIE VIDAL, MD, MPH, MBA
Deactivated Sole ProprietorCHARLIE VIDAL, MD, MPH, MBA is a General Practice healthcare provider located in SAN JUAN, Puerto Rico. NPI 1114416708 is deactivated in the NPPES registry. Verify at CMS.
General Practice · SAN JUAN, PR
This NPI has been deactivated.
The record was deactivated on April 18, 2022.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1114416708
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 9, 2018 (3.9424657534247 yrs)
- Last Updated
- Mar 15, 2023
- Deactivated
- Apr 18, 2022
- License
-
16158-I (PR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
123 ST IN PUERTO RICOSAN JUAN, PR, 00918Browse PR providers · Browse ZIP 00918
- Phone
- 7872420101
- Primary Specialty
-
General Practice
208D00000X
Other General Practice Providers in SAN JUAN, PR
| Name | Credential | NPI |
|---|---|---|
| MRS. SYLVETTE DE LEON | M.D. | 1730182833 |
| LORENZO E BOSQUE HERNANDEZ | MD | 1407850175 |
| DR. ELVIN OLIVERO | MD | 1033113659 |
| DR. EUGENIO RAFAEL BARBOSA DEL VALLE | M.D. | 1437155264 |
| DR. LEONARDO J CAMPIZ JIMENEZ | — | 1033116306 |
| DR. LUIS ANGEL MARTINEZ-SUAREZ | MD, MPH | 1235137977 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.