Organization
NATIONAL ADVANCED DIAGNOSTIC IMAGING SUB-SPECIALISTS
Active
Other names
NADISS
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE A VIDAL M.D. (PRESIDENT)
(816) 309-2266
Entity
Organization
Contact information
Practice address
URB LAS CUMBRES 497 EMILIANO POL, PMB 283, SAN JUAN, PR 00926-5636
(816) 309-2266
(787) 283-1173
Mailing address
URB LAS CUMBRES 497 EMILIANO POL, PMB 283, SAN JUAN, PR 00926-5636
(816) 309-2266
(787) 283-1173
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
07/21/2008
Last updated
07/28/2008
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