Juan Vidal, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME 70026 Issued in FL

Practice address

312 S Old Dixie Hwy Ste 107
Jupiter, FL 33458-7489

Phone

(561) 935-9622

Fax

(561) 935-9627

NPI assigned

Nov 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jupiter Wellness Center, LLC

  • Internal Medicine Physician
  • Jupiter, FL
  • NPI 1336615632
  Medicare reassignment NPD
• Palm Beach Hospitalists Program,LLC

  • Hospitalist Physician
  • Atlantis, FL
  • NPI 1922089887
  NPD (past)

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1093796286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 S OLD DIXIE HWY",
            "address_2": "STE 107",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587489",
            "telephone_number": "561-935-9622",
            "fax_number": "561-935-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 S OLD DIXIE HWY STE 107",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587489",
            "telephone_number": "561-935-9622",
            "fax_number": "561-935-9627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 S Congress Ave",
            "address_purpose": "LOCATION",
            "city": "Atlantis",
            "state": "FL",
            "postal_code": "334621149",
            "country_code": "US",
            "telephone_number": "561-588-4844",
            "fax_number": "561-588-3655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIDAL",
        "first_name": "JUAN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME70026",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 70026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Lichtenstein LMHC LLC
• Gianna Vertullo
• Hagelande P Vertus, APRN, AGNP-BC
• Victoria Knopp, Inc.
• Vida Medical Associates Inc
• Roxana P Viera, MD
• Villa Tranquil, LLC
• Augusto Ernesto Villa, M.D.
• Vip Primary Care Associates PA
• Virginia C Phipps DO Ms

• Internal Medicine Physician in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.