Wildalis Novoa-Vidot

Primary specialty

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

Practice address

Bo Santa Rosa Calle Las Violetas Int Finca#1
Vega Alta, PR 00692

Phone

(787) 225-5747

NPI assigned

Apr 24, 2020

Sex

Female

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

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1629698196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 532",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006920532",
            "telephone_number": "787-225-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO SANTA ROSA CALLE LAS VIOLETAS INT FINCA#1",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "00692",
            "telephone_number": "787-225-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVOA-VIDOT",
        "first_name": "WILDALIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mildred Negron Ocasio, RPH
• Carmen Alicia Nieves Vargas
• Deborah Nieves, M.S.
• North Medical Services LLC
• Northeast Corp
• Nueva Farmacia Santa Ana, Inc.
• Nueva Vida de la Salud Corp
• Nueva Vida de la Salud Corp
• William A Nunez, DMD
• Noelia Ocasio

• Student in an Organized Health Care Education/Training Program in Vega Alta, PR
• Providers in Vega Alta, 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 24, 2020; 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.