NELLY VIDAL DE JESUS NPI 1306360888

NPI Information

  • NPI: 1306360888
  • Provider Name: NELLY VIDAL DE JESUS
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • Address: 1503 CALLE PROF AUGUSTO RODRIGUEZ STE 600
    SAN JUAN, PR
    ZIP 00909
  • Phone: (787) 497-0800

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NPI Details

Nelly Vidal De Jesus is a general practice in San Juan, PR. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Nelly Vidal De Jesus NPI is 1306360888. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1503 CALLE PROF AUGUSTO RODRIGUEZ STE 600
SAN JUAN, PR
ZIP 00909-275
Phone: (787) 497-0800
Fax: (787) 982-6464

The enumeration date for this NPI number is 7/27/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice4041170PUERTO RICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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