Vidal, Jose

Vidal, Jose is an individual health care provider with primary practice located at 5955 Ponce De Leon Blvd , Coral Gables FL 33146. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Vidal, Jose can be contacted via phone (305) 661-1515.

Contact Information

Primary practice address
5955 Ponce De Leon Blvd Coral Gables FL 33146
Phone: (305) 661-1515
Fax: (305) 662-3723
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 063816 New Jersey
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X ME80877 Florida

Profile Details

NPI number 1053327254
LBN Legal business name Vidal, Jose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Oct 17th, 2011 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053327254 NPPES
New Jersey MEDICAID 7973403
New Jersey MEDICAID 279761500

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