Vidal, Wanda Ivette
Vidal, Wanda Ivette is an sole proprietor health care provider with primary practice located at Ave. General Valero #404 , Fajardo PR 00738. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Vidal, Wanda Ivette can be contacted via phone (787) 655-0505.Contact Information
Primary practice address
Ave. General Valero #404
Fajardo PR 00738
Phone: (787) 655-0505
Fax: (787) 655-5024
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 15408 | Puerto Rico |
Profile Details
| NPI number | 1790995363 |
|---|---|
| LBN Legal business name | Vidal, Wanda Ivette |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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