Enid Vidal-Rivera in Grand Blanc - Family Medicine

Enid Vidal-Rivera - NPI 1780791319

Enid Vidal-Rivera is a Family Medicine in Grand Blanc, Michigan. Enid Vidal-Rivera practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Enid Vidal-Rivera is 1780791319. The last update date is 2014-09-24.

Enid Vidal-Rivera's current location address is 8392 Holly Rd, Grand Blanc, Michigan. You can contact this provider via phone number 8106949903 and fax number 8106956644. The mailing address for Enid Vidal-Rivera is 8392 Holly Rd, Grand Blanc, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Enid Vidal-Rivera
Address 8392 Holly Rd, Grand Blanc, Michigan
Phone Number 8106949903
Fax Number 8106956644
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1780791319
Provider Enumeration Date 2006-08-23
Last Updated Date 2014-09-24

Provider Mailing Address Detail

Address 8392 Holly Rd
City Grand Blanc
State Michigan (MI)
Post Code 484391867
Phone Number 8106949903
Fax Number 8106956644

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 4301066781
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4189655 MI --
080B51127 MI BLUE CROSS BLUE SHIELD

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FAQs about Enid Vidal-Rivera

What is the Enid Vidal-Rivera's unique identification number?

The Enid Vidal-Rivera has been assigned the NPI (National Provider Identifier) Number 1780791319 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Enid Vidal-Rivera is physically located?

The Enid Vidal-Rivera is physically situated at the following address: 8392 Holly Rd, Grand Blanc, MI, 484391867.

What is Enid Vidal-Rivera's area of expertise and its corresponding taxonomy classification?

The Enid Vidal-Rivera's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Enid Vidal-Rivera receive the assignment of its 1780791319 from the Centers for Medicare & Medicaid Services?

The Enid Vidal-Rivera was issued its 1780791319 by the Centers for Medicare & Medicaid Services on 2006-08-23.

When was the information pertaining to Enid Vidal-Rivera most recently updated or revised?

The details related to Enid Vidal-Rivera, including its address, specialty, and other relevant information, were last updated or revised on 2014-09-24.

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