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General NPI Number Information
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NPI Number | 1811821739
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Entity Type | Organization
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Legal Business Name | VIDAL & CARABALLO HEALTH SERVICES LLC
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Dates
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Enumeration Date | 06/09/2026
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Last Update Date | 06/09/2026
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Provider Practice Location Address
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Address Line | CALLE DR. CUETO #70
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City | UTUADO
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State | PR
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Zip | 00641
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Country | US
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Telephone | 787-214-2233
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Fax |
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Provider Business Mailing Address
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Address Line | CALLE DR. CUETO #70
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City | UTUADO
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State | PR
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Zip | 00641
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHARLIE VIDAL JR.
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Credential | MD
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Telephone | 787-312-4432
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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