Individual
CHARLIE VIDAL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CALLE DR. CUETO #70, UTUADO, PR 00641
(860) 578-4969
Mailing address
CALLE HERNANDEZ CARRION, MANATI, PR 00674
(787) 621-3700
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
16158-I
PR
208D00000X
General Practice Physician
Primary
25043
PR
Other
Enumeration date
05/09/2018
Last updated
07/02/2026
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