Jose Raul Vidal

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1030 SW 96TH Ave
Miami, FL 33174-2931

Phone

(772) 626-0295

NPI assigned

May 29, 2013

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Family Premier Services LLC

  • Case Management Agency
  • Miami, FL
  • NPI 1447876461
  NPD (past)

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1841637014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 SW 96TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742931",
            "telephone_number": "772-626-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 SW 96TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742931",
            "telephone_number": "772-626-0295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4175 W 20th Ave",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330125874",
            "country_code": "US",
            "telephone_number": "305-825-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIDAL",
        "first_name": "JOSE",
        "middle_name": "RAUL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-29",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos A Vidal, M.D.
• Cristina Vidal
• Denisse Jane Vidal
• Gabriela Vidal
• Helen Caridad Vidal, PA-C
• Joseph Vidal, PHARMD
• Ligia E Vidal, MD
• Maria Cecilia Vidal, DDS
• Michael Angelo Vidal
• Reinaldo Vidal, HSE 8603

• Social Worker in Miami, FL
• Providers in Miami, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; 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.