Individual
DR. AGUSTIN JOSE VIDAL-RIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
HOSPITAL METROPOLITANO DE SAN JUAN, 1785 CARR 21 LAS LOMAS, SAN JUAN, PR 00922
(787) 782-9999
Mailing address
25 REPTO CURIEL, MANATI, PR 00674-5706
(787) 246-0010
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
10912
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10912
PUERTO RICO BOARD OF MEDICAL LICENSURE AND DISCIPLINE
PR
Enumeration date
02/07/2007
Last updated
09/10/2020
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