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Individual

DR. EFRAIN RICARDO VIDAL CABANAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
URB VALLE HERMOSO ARRIBA C/TITO N1, COSTADO MAYAGUEZ MALL, HORMIGUEROS, PR 00660
(787) 832-5753
(787) 832-5753
Mailing address
GPO BOX 1606, HORMIGUEROS, PR 00660
(787) 832-5753
(787) 832-5753

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
11169
PR

Other

Enumeration date
02/16/2006
Last updated
10/31/2011
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