Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790995363 Individual Practitioner Female Practitioner

Dr. Wanda Ivette Vidal , MD

General Practice • Fajardo, PR

Professional Overview & Biography Verified Profile Summary

Dr. Wanda Vidal, MD is a registered healthcare professional specializing in General Practice in Fajardo, PR. Practice services are available at AVE. GENERAL VALERO #404 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Ave. General Valero #404

Fajardo, PR 00738

Telephone 7876550505
Fax 7876555024
Associated Practice Facility / Clinic
🏢 Centro Medico Del Turabo Inc. Facility NPI 1750316006

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Fajardo, PR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.8 Yrs
State Avg: 25.4 Yrs
Regional Practice Density
47 Specialists

Practicing in Fajardo, PR (4449 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License PR 15408

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners

Doctor of Medicine (M.D.)

Dr. Olga Torres Mendez , MD

Obstetrics & Gynecology

NPI 1043467483

Doctor of Medicine (M.D.)

Judith Borrero-Walker , RD LND

Dietitian, Registered

NPI 1083946982

RDLND

Dr. Franklin Diaz , MD

General Practice

NPI 1225720352

Doctor of Medicine (M.D.)

NPI 1235803586

Doctor of Medicine (M.D.)

Dr. Noosha Baqi , MD

Pediatrics - Pediatric Nephrology

NPI 1275594715

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at AVE. GENERAL VALERO #404, FAJARDO, PR 00738 (Tel: 7876550505)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 160, FAJARDO, PR 007380160 (Tel: 7878633412)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as WANDA VIDAL, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #15408 in PR)

🟢
Initial NPI Registration & Enumeration May 23, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790995363
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

Po Box 160

Fajardo, PR 007380160

Phone: 7878633412

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.