Individual provider · Type 1 NPI

Charlie Vidal Jr., MD

General Practice Physician · Utuado, PR

NPI number 1114416708 Active · reactivated Dec 15, 2022

Practice location

500 Calle Dr Isaac Gonzalez
Utuado, PR 00641-2635

Call (787) 422-1894 Map

Mailing address

Calle Hernandez Carrion
Manati, PR 00674

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X25043 (PR)

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

5 other providers at this address

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About NPI 1114416708

Charlie Vidal Jr., MD's National Provider Identifier is 1114416708, issued on May 9, 2018. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Utuado, PR. The record was last updated on Oct 28, 2026.