Individual
MR. RHADAMES TRINIDAD VIDALOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CARR 21 LAS LOMAS, RIO PIEDRAS, PR 00983
(787) 782-8058
(787) 782-8058
Mailing address
CONDOMINIO COSTA MARINA II, APARTAMENTO 3J, CAROLINA, PR 00983
(787) 378-3130
(787) 378-3130
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6178
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0061085
LA CRUZ AZUL DE PUERTO RI
—
01
—
228011
PREFERRED HEALTH PLAN
—
01
—
2473
PREFERRED MEDICAL CHOICE
—
01
—
27446
TRIPLE S
—
01
—
500043E
MEDICARE MUCHO MAS MMM
—
Enumeration date
08/30/2006
Last updated
12/29/2010
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