Mrs Wanda Ivette Vidal, MD in Fajardo, PR - Medicare General Practice

Mrs Wanda Ivette Vidal, MD is a medicare enrolled "General Practice" physician in Fajardo, Puerto Rico. Her current practice location is Ave. General Valero #404, Fajardo, Puerto Rico. You can reach out to her office (for appointments etc.) via phone at (787) 655-0505.

Mrs Wanda Ivette Vidal is licensed to practice in Puerto Rico (license number 15408) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1790995363.

Contact Information

	Mrs Wanda Ivette Vidal, MD
	Ave. General Valero #404, Fajardo, PR 00738
	(787) 655-0505
	(787) 655-5024

Map and Direction

Physician's Profile

Full Name	Mrs Wanda Ivette Vidal
Gender	Female
Speciality	General Practice
Location	Ave. General Valero #404, Fajardo, Puerto Rico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790995363
Provider Enumeration Date: 05/23/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9436490968
Enrollment ID: I20190410003038

Medical Identifiers

Medical identifiers for Mrs Wanda Ivette Vidal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790995363	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	15408 (Puerto Rico)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Wanda Ivette Vidal is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Wanda Ivette Vidal, MD Po Box 160, Fajardo, PR 00738-0160 Ph: (787) 863-3412	Mrs Wanda Ivette Vidal, MD Ave. General Valero #404, Fajardo, PR 00738 Ph: (787) 655-0505

Reviews and Comments

General Practice Doctors in Fajardo, PR

Hildeberto Blasco, MD General Practice Medicare: Medicare Enrolled Practice Location: Ave Principal Baralt # F4, Fajardo, PR 00738 Phone: 787-860-5002
Dr. Juan Luis Vazquez, MD General Practice Medicare: Medicare Enrolled Practice Location: 404 Ave General Valero, Fajardo, PR 00738 Phone: 787-988-9431
Arturo Ortiz Ramos, General Practice Medicare: Accepting Medicare Assignments Practice Location: Calle Union #63, Fajardo, PR 00738 Phone: 787-863-4363
Arturo Hernandez Estrlla, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: Centro Pediatrico De Fajardo, Urb Montr Brisa Calle E Suite 77, Fajardo, PR 00738 Phone: 787-801-1992 Fax: 787-863-5437
Dr. Benjamin Ricardo Velazquez, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: Ave Principal G 19 Urb Baralt, Fajardo, PR 00738 Phone: 787-801-7710 Fax: 787-801-7710
Dr. Howard John Wetterer, M.D. General Practice Medicare: Medicare Enrolled Practice Location: Ave. General Valero 313, Suite A, Fajardo, PR 00738 Phone: 787-801-3158 Fax: 787-801-3159
Dr. Gustavo Adolfo Infante Nerys, MD General Practice Medicare: Medicare Enrolled Practice Location: 404 Ave General Valero, Fajardo, PR 00738 Phone: 787-863-0505

Mrs Wanda Ivette Vidal, MD - Medicare General Practice in Fajardo, PR