Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GUSTAVO VIDAL, PT
ActiveMR. GUSTAVO VIDAL, PT is a Specialist healthcare provider located in WAKE FOREST, North Carolina. NPI 1184657298 is currently active in the NPPES registry. Verify at CMS.
Specialist · WAKE FOREST, NC
Registration Details
- NPI Number
- 1184657298
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 9, 2006 (20.113053393664 yrs)
- Last Updated
- Feb 19, 2024
- License
-
8191 (NC)
Practice Information
- Address
-
123 CAPCOM AVE STE 2WAKE FOREST, NC, 275876517Browse NC providers · Browse ZIP 27587
- Phone
- 9195514142
- Fax
- 9196946417
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in WAKE FOREST, NC
| Name | Credential | NPI |
|---|---|---|
| DR. PATRICIA ANN MATHEIS | M.D. | 1740385061 |
| MRS. JODI NICOLE WHITEMAN | M.ED. | 1295866580 |
| JUSTIN J SULLIVAN | PT | 1548525090 |
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.