Organization
VIDAL & CARABALLO HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLIE VIDAL JR. MD (PRESIDENT)
(787) 312-4432
Entity
Organization
Contact information
Practice address
CALLE DR. CUETO #70, UTUADO, PR 00641
(787) 214-2233
Mailing address
CALLE DR. CUETO #70, UTUADO, PR 00641
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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