Jose Vidal
MD | Pediatric Emergency Medicine | Male
Jose Vidal, MD is a Coral Gables, Florida based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Jose Vidal is
5955 Ponce De Leon Blvd, Coral Gables, Florida - 33146. He can be contacted on phone at
305-661-1515 and fax number 305-662-3723.
Jose Vidal is a sole proprietor of his business.
NPI number (Unique professional ID) for Jose Vidal is
1053327254 which was assigned by NPPES on 31 Jul, 2006 and it was last updated on 17 Oct, 2011.
Jose Vidal license number is
ME80877 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Florida.
Jose Vidal has special qualifications to manage emergencies in infants and children.
Complete Profile:
Jose Vidal basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Jose Vidal |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Jose Vidal address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5955 Ponce De Leon Blvd
Coral Gables, FL, 33146
United States |
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| Phone Number : | 305-661-1515 |
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| Fax Number : | 305-662-3723 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1053327254 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 31 Jul, 2006 |
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| Last Updated On : | 17 Oct, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jose Vidal are as mentioned. Primary taxonomy code for Jose Vidal, MD is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207PE0004X | Emergency Medicine Emergency Medical Services | No | 063816 | NJ |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | ME80877 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Jose Vidal such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 7973403 | MEDICAID | NJ | |
| 279761500 | MEDICAID | FL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 5955 Ponce De Leon Blvd.
Coral Gables, FL, 33146
United States |
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| Phone Number : | 305-661-1515 |
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| Fax Number : | 305-662-3723 |
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Business Location:
Patients can refer following map for directions to
Jose Vidal practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.