Valeria Marcela Vidal

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9118081 Issued in FL

Practice address

650 SE Indian St Ste 4
Stuart, FL 34997-5565

Phone

(772) 403-2229

Fax

(772) 403-2230

NPI assigned

Jan 4, 2022

Sex

Female

Sole proprietor

No

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Dermatology Specialists, PLLCGroup PAC ID 5890163182, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.7 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Cost

45.65

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Florida Dermatology Specialists, PLLC

  • MOHS-Micrographic Surgery Physician
  • Stuart, FL
  • NPI 1164140521
  Medicare reassignment Care Compare group
• Dermatology Associates of the Palm Beaches PLLC

  • Dermatology Physician
  • West Palm Beach, FL
  • NPI 1649260308
  NPD (past)

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1255092946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 SE INDIAN ST STE 4",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349975565",
            "telephone_number": "772-403-2229",
            "fax_number": "772-403-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 SE INDIAN ST STE 4",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349975565",
            "telephone_number": "772-403-2229",
            "fax_number": "772-403-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAL",
        "first_name": "VALERIA",
        "middle_name": "MARCELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9118081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Vickers
• Tanya Hurley Vickers, MA, CCC-SLP
• Ralph Jeftey Victor
• Victory Medical Supply LLC
• Starr Vida
• Maile Yuka Vidales
• Jonah Alexander Vidaurre
• Christina Mayoree Vigo
• Stephen R. Vijan, M.D.
• Ana Victoria Villa, RBT

• Physician Assistant in Stuart, FL
• Providers in Stuart, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.