Individual
DR. CARLOS ALFONSO VIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
UPR MEDICAL SCIENCES CAMPUS A-989 MAIN BUILDING, APARTADO 365067, SAN JUAN, PR 00936-5067
(787) 758-2525
Mailing address
PO BOX 7546, PONCE, PR 00732-7546
(787) 557-7212
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
19098
PR
Other
Enumeration date
06/20/2011
Last updated
10/07/2015
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