Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Vidalus LLC

Organization Clinic/Center · NPI 1699402255

Vidalus LLC is a Clinic/Center in San Juan, Puerto Rico. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

677 Calle Felipe Gutierrez
San Juan, PR 00924-2207
Phone: (561) 578-1730

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Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1699402255
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Blackburn — Manager · (561) 578-1730
Other names Vidalus Llc
NPI enumeratedAugust 4, 2022
Last updated in NPPESOctober 18, 2024
Certification dateOctober 18, 2024
Mailing address31 Harbour Lights Dr, Humacao, PR 00791-6055

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