Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. WANDA IVETTE VIDAL, M.D.
Active Sole ProprietorMRS. WANDA IVETTE VIDAL, M.D. is a General Practice healthcare provider located in FAJARDO, Puerto Rico. NPI 1790995363 is currently active in the NPPES registry. Verify at CMS.
General Practice · FAJARDO, PR
Registration Details
- NPI Number
- 1790995363
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 23, 2007 (19.204551941717 yrs)
- Last Updated
- Jul 8, 2007
- License
-
15408 (PR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
AVE. GENERAL VALERO #404FAJARDO, PR, 00738Browse PR providers · Browse ZIP 00738
- Phone
- 7876550505
- Fax
- 7876555024
- Primary Specialty
-
General Practice
208D00000X
Other General Practice Providers in FAJARDO, PR
| Name | Credential | NPI |
|---|---|---|
| DR. BENJAMIN RICARDO VELAZQUEZ | MD | 1114901162 |
| JOSE M MENDEZ JIMINIAN | MD | 1730148750 |
| MS. CARMEN D IRIZARRY CEBALLOS | MD | 1356302202 |
| DR. SARITA MONTES | MD | 1386696292 |
| DR. JULIO MARIN CONCEPCION | MD | 1447291380 |
| DR. MARISOL PEREZ-CURRY | M.D. | 1477571842 |
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.