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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NELLY VIDAL DE JESUS

Active

NELLY VIDAL DE JESUS is a General Practice healthcare provider located in SAN JUAN, Puerto Rico. NPI 1306360888 is currently active in the NPPES registry. Verify at CMS.

General Practice · SAN JUAN, PR

Registration Details

NPI Number
1306360888
Provider Type
Individual
Gender
Female
NPI Issued
Jul 27, 2017 (9.0225573224749 yrs)
Last Updated
Jul 21, 2022
License
4041170 (PR)

Practice Information

Address
1503 CALLE PROF AUGUSTO RODRIGUEZ STE 600
SAN JUAN, PR, 009092275
Browse PR providers · Browse ZIP 00909
Phone
7874970800
Fax
7879826464
Primary Specialty
General Practice
208D00000X

Other General Practice Providers in SAN JUAN, PR

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.