# DR. MILAGROS MERCEDES VIDOT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1295798098
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 20921 | WV | — |
| 207Q00000X | Family Medicine Physician | 0101240661 | VA | Yes |

## Other

- **Enumeration date:** 04/11/2006
- **Last updated:** 09/17/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001722256 | BLUE CROSS BLUE SHIELD | WV |
| 05 | — | 1808426000 | — | WV |