Individual
DR. RAMON E VIDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
369 DE DIEGO STREET, TORRE SAN FRANCISCO SUITE 508, SAN JUAN, PR 00923-0000
(787) 282-3000
(787) 767-2272
Mailing address
PO BOX 9784, SAN JUAN, PR 00908-0784
(787) 282-3000
(787) 767-2272
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8798
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2725
PREFERRED MEDICARE CHOICE
PR
01
—
28798
CIGNA
PR
01
—
80705
TRIPLE-S
PR
01
—
8798
PHYSICIAN LICENSE NUMBER
PR
01
—
9100040
HUMANA
PR
Enumeration date
02/16/2006
Last updated
03/21/2011
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