Dr. Charlie Vidal , MD
General Practice • Utuado, PR
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Charlie Vidal has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Charlie Vidal, MD was a registered General Practice practicing in Utuado, PR. Throughout an active medical career spanning 4 years, Dr. Vidal provided care at the practice location at CALLE DR. CUETO #70 until profile deactivation on 2022-04-18.
Practice Location & Contact Primary Location
Calle Dr. Cueto #70
Utuado, PR 00641
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in Utuado, PR
Practicing in Utuado, PR (4449 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2026-07-02NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at CALLE DR. CUETO #70, UTUADO, PR 00641 (Tel: 8605784969)
Registered at CALLE HERNANDEZ CARRION, MANATI, PR 00674 (Tel: 7876213700)
Recorded as CHARLIE VIDAL, MD
General Practice (License #25043 in PR)
Registered at 123 ST IN PUERTO RICO, SAN JUAN, PR 00918 (Tel: 7872420101)
Registered at 123 ST IN PUERTO RICO, SAN JUAN, PR 00918
General Practice (License #16158-I in PR)
Registered at CARR 5523 KM 4.4, BO ARENAS, UTUADO, PR 00641 (Tel: 7872429604)
Registered at HC 4 BOX 10578, UTUADO, PR 006417518
Recorded as CHARLIE VIDAL, MD, MPH, MBA
Health Educator
Record deactivated on April 18, 2022
NPI status registered as active in NPPES database
Registered at CARR 5523 KM 4.4, BO ARENAS, UTUADO, PR 00641 (Tel: 7872429604)
Registered at HC 4 BOX 10578, UTUADO, PR 006417518
Recorded as CHARLIE VIDAL, MD, MPH, MBA
Clinic/Center
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
Mailing Address
Calle Hernandez Carrion
Manati, PR 00674
Phone: 7876213700
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