Agustin Jose Vidal-Rios, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

10912 Issued in PR

Practice address

Hospital Metropolitano de San Juan
1785 Carr 21 Las Lomas
San Juan, PR 00922

Phone

(787) 782-9999

NPI assigned

Feb 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Instituto Medico del Norte Inc

  • General Acute Care Hospital
  • Vega Baja, PR
  • NPI 1154309169
  Medicare reassignment NPD
• Emergency Physician Providers, LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Arecibo, PR
  • NPI 1245775089
  Medicare reassignment
• Instituto Medico del Norte Inc

  • Radiology Clinic/Center
  • San Juan, PR
  • NPI 1225802606
  NPD
• Centro de Medicina Oncologica de Puerto Rico, CSP

  • Hematology & Oncology Physician
  • Vega Baja, PR
  • NPI 1750872099
  NPD (past)
• Metro Hato Rey Inc

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1750346151
  NPD (past)
• Metrohealth, Inc.

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1275580763
  NPD (past)
• Platinum Emergency Physicians, PSC

  • Emergency Medicine Physician
  • Arecibo, PR
  • NPI 1285980052
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1093855017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 REPTO CURIEL",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006745706",
            "telephone_number": "787-246-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL METROPOLITANO DE SAN JUAN",
            "address_2": "1785 CARR 21 LAS LOMAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00922",
            "telephone_number": "787-782-9999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "HOSPITAL WILMA N VAZQUEZ",
            "address_2": "CARR 2 KM 39.5",
            "address_purpose": "LOCATION",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006930000",
            "country_code": "US",
            "telephone_number": "787-858-2580",
            "fax_number": "787-858-2385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIDAL-RIOS",
        "first_name": "AGUSTIN",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "10912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUERTO RICO BOARD OF MEDICAL LICENSURE AND DISCIPLINE",
            "identifier": "10912",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victor J Llado, MD, LLC
• Vida Integral Centro Quiropractico
• Viviana Vidal Anaya, MD
• Nelly Vidal de Jesus
• Victor Emilio Vidal Lopez
• Juan Sebastian Vidal-Santiago, MD
• Aracelis Vidal
• Carlos Alfonso Vidal, M.D.
• Ramon E Vidal, MD
• Sergio Andres Vidal

• Emergency Medicine Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Emergency Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.