Vidal Medical Office PLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

VIDAL MEDICAL OFFICE PLC

Practice address

21300 N John Wayne Pkwy
Unit 116 BLDG 7
Maricopa, AZ 85139-8979

Phone

(520) 423-9699

Fax

(520) 423-9599

NPI assigned

Sep 12, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Hilda Flores-Vidal, M.D.NPI 1376646810

Title

Owner

Phone

(520) 423-9699

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hilda Flores-Vidal, M.D.

  • Specialist
  • Maricopa, AZ
  • NPI 1376646810
  Medicare reassignment NPD Authorized official
• Fritz Damas Francois, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1922611599
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1023112760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21300 N JOHN WAYNE PKWY",
            "address_2": "UNIT 116 BLDG 7",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851398978",
            "telephone_number": "520-423-9699",
            "fax_number": "520-423-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21300 N JOHN WAYNE PKWY",
            "address_2": "UNIT 116 BLDG 7",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851398979",
            "telephone_number": "520-423-9699",
            "fax_number": "520-423-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDAL MEDICAL OFFICE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "FLORES-VIDAL",
        "authorized_official_first_name": "HILDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-423-9699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS #",
            "identifier": "313021",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Van Slyke
• Kassandra Cristal Vansickle
• Carlos Velazquez
• Mark Vergara, P.T.
• Roger Lawrence Vesper, O.D.
• Gabriella Viera, DPT
• Vision Lakes Consulting Group
• Vitiello Primary Care PLLC
• Joann H Vitiello, F.N.P
• Mariahao Vo, PHARMD

• Adult Medicine Physician in Maricopa, AZ
• Providers in Maricopa, AZ by specialty
• Adult Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.