Carlos Alfonso Vidal, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

19098 Issued in PR

Practice address

Upr Medical Sciences Campus a-989 Main Building
Apartado 365067
San Juan, PR 00936-5067

Phone

(787) 758-2525

NPI assigned

Jun 20, 2011

Sex

Male

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 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

Specialty

Anesthesiology

Education

University of Puerto Rico School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Recinto de Ciencias Medicas

  • Anesthesiology Physician
  • Rio Piedras, PR
  • NPI 1770522856
  Medicare reassignment Care Compare group NPD
• Recinto de Ciencias Medicas

  • Colon & Rectal Surgery Physician
  • San Juan, PR
  • NPI 1538935051
  NPD

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1306132238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7546",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327546",
            "telephone_number": "787-557-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UPR MEDICAL SCIENCES CAMPUS A-989 MAIN BUILDING",
            "address_2": "APARTADO 365067",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009365067",
            "telephone_number": "787-758-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAL",
        "first_name": "CARLOS",
        "middle_name": "ALFONSO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PR",
            "license": "19098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nelly Vidal de Jesus
• Victor Emilio Vidal Lopez
• Agustin Jose Vidal-Rios, MD
• Juan Sebastian Vidal-Santiago, MD
• Aracelis Vidal
• Ramon E Vidal, MD
• Sergio Andres Vidal
• Vidalus LLC
• Vidasana Family Practice LLC
• Liza Viejo

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.