Gustavo Vidal is a Specialist in Wake Forest, North Carolina. Gustavo Vidal practices all healthcare services and medical treatments related to Specialist. The NPI Number for Gustavo Vidal is 1184657298. The last update date is 2021-03-03.
Gustavo Vidal's current location address is 1333 Litchborough Way, Wake Forest, North Carolina. You can contact this provider via phone number 9196004309 and fax number 9196946417. The mailing address for Gustavo Vidal is 1333 Litchborough Way, Wake Forest, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gustavo Vidal |
|---|---|
| Address | 1333 Litchborough Way, Wake Forest, North Carolina |
| Phone Number | 9196004309 |
| Fax Number | 9196946417 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1184657298 |
|---|---|
| Provider Enumeration Date | 2006-07-09 |
| Last Updated Date | 2021-03-03 |
Provider Mailing Address Detail
| Address | 1333 Litchborough Way |
|---|---|
| City | Wake Forest |
| State | North Carolina (NC) |
| Post Code | 275873612 |
| Phone Number | 9196004309 |
| Fax Number | 9196946417 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 8191 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 078M3 | NC | BCBS PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique identification code assigned to Gustavo Vidal by the Centers for Medicare & Medicaid Services?
The Gustavo Vidal has been issued the NPI (National Provider Identifier) 1184657298. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Gustavo Vidal's facilities are geographically located?
The facilities of Gustavo Vidal are physically situated at the following location: 1333 Litchborough Way, Wake Forest, NC, 275873612.
What is Gustavo Vidal's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gustavo Vidal's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1184657298 to Gustavo Vidal?
The Centers for Medicare & Medicaid Services originally issued the 1184657298 to Gustavo Vidal on 2006-07-09.
When was the information related to Gustavo Vidal most recently updated or refreshed?
The details pertaining to the Gustavo Vidal, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-03-03.
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