Individual
MRS. ERICK JAVIER VIDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
URB SANTA ELENA 3, E6 CALLE SANTA CLARA, GUAYANILLA, PR 00656
(787) 244-6796
Mailing address
URB SANTA ELENA 3, 46 CALLE SANTA CLARA, GUAYANILLA, PR 00656
(787) 244-6796
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
86209-G
PR
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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