Charlie Vidal, MD, MPH, MBA
Charlie Vidal is a General Practice Physician provider (General Practice) practicing in San Juan, PR, registered in the NPPES registry with NPI 1114416708 since 2018. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1114416708 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Charlie Vidal |
| Credential | MD, MPH, MBA |
| Sex | Male |
| Practice address | San Juan, PR, 00918 |
| Phone | 7872420101 |
| Enumeration date | 2018-05-09 |
| Last updated in NPPES | 2023-03-15 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208D00000X | General Practice Physician | Primary | 16158-I | PR |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Copy-ready billing details
Provider: Charlie Vidal, MD, MPH, MBA NPI: 1114416708 Taxonomy: 208D00000X (General Practice Physician) Address: San Juan, PR, 00918
Verify this record
Cross-check NPI 1114416708 against the authoritative CMS record: view Charlie Vidal on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Charlie Vidal?
Where does Charlie Vidal practice?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-03-15.