Fabian Andres Vidarte Quintana, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

Carretera 3 KM. 8.3 Ave 65 de Infanteria
Carolina, PR 00984

Phone

(787) 757-1800

NPI assigned

Apr 7, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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.

• Servicios Medicos Universitarios Inc

  • Psychiatric Hospital Unit
  • Carolina, PR
  • NPI 1881816932

  Student in an Organized Health Care Education/Training Program

  NPD (past)

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1124812938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 CALLE IGUALDAD",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172316",
            "telephone_number": "787-702-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 3 KM. 8.3 AVE 65 DE INFANTERIA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00984",
            "telephone_number": "787-757-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDARTE QUINTANA",
        "first_name": "FABIAN",
        "middle_name": "ANDRES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Anthony Vergara-Gomez, M.D.
• Julio E Vergne Maldonado, MD
• Maria Viana, M.D.
• Aris Daniel Vidal, RN, SRNA
• Marina Gabrielle Vidal
• Fernando Viejo, 333
• Carmen Josefina Vila, MSW
• Juan C Vila, MD
• Vanessa Maria Villafane Gregory, PH.D., M.P.H.
• Raul D Villalobos Diaz, MD

• Student in an Organized Health Care Education/Training Program in Carolina, PR
• Providers in Carolina, PR by specialty
• Student in an Organized Health Care Education/Training Program in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.