Rhadames Trinidad Vidalor, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

6178 Issued in PR

Practice address

Carr 21 Las Lomas
Rio Piedras, PR 00983

Phone

(787) 782-8058

Fax

(787) 782-8058

NPI assigned

Aug 30, 2006

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 5

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

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293580800000",
    "number": "1104935238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CONDOMINIO COSTA MARINA II",
            "address_2": "APARTAMENTO 3J",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "787-378-3130",
            "fax_number": "787-378-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 21 LAS LOMAS",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "787-782-8058",
            "fax_number": "787-782-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRINIDAD VIDALOR",
        "first_name": "RHADAMES",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "6178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA CRUZ AZUL DE PUERTO RI",
            "identifier": "0061085",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "27446",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MUCHO MAS MMM",
            "identifier": "500043E",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH PLAN",
            "identifier": "228011",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED MEDICAL CHOICE",
            "identifier": "2473",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noel Santiago Torres, RPH
• Transcatheter Medical CSP
• Transportes Medicos de Puerto Rico
• Maria Del Carmen Travieso, PHL
• Maritza Trinidad Reyes, MD
• Maria Del C Valentin, M.S.W.
• Glorydela Valle, MD
• Larry J Vandaalen, MD
• Elba De Lourdes Vargas, PSYD
• Manuel I Vargas, M.D.

• Internal Medicine Physician in Rio Piedras, PR
• Providers in Rio Piedras, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; 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.