Individual
DR. JESUS MIGUEL VIDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
HOSPITAL HIMA SAN PABLO CAGUAS, AVE LUIS MUNOZ MARIN, CAGUAS, PR 00725
(787) 653-3434
(787) 653-3112
Mailing address
ST. 46 SW #1410, LA RIVIERA, SAN JUAN, PR 00921
(787) 739-7846
(787) 653-3112
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
9192
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8-3244
SSS
PR
Enumeration date
07/21/2006
Last updated
02/04/2008
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