Marco Vidales
Pediatric Allergist
Calle Pascual Ortiz Rubio #999 Local C Col. Medardo Glz
New Island City
, New Island 88550
Marco Vidales
Pediatric Allergist
Calle Pascual Ortiz Rubio #999 Local C Col. Medardo Glz
New Island City
, New Island 88550
(899) 922-9121
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About
Features
Specialties
- Pediatric Allergist
Languages spoken
- English
Location
First Address
- Marco Vidales
- Calle Pascual Ortiz Rubio #999 Local C Col. Medardo Glz
- Reynosa, TAMAULIPAS
- Zip : 88550
- Phone : (899) 922-9121
Second Address
- Marco Vidales
- Calle Pascual Ortiz Rubio #999 Local C Col. Medardo Glz
- Reynosa, TAMAULIPAS
- Zip : 88550
- Phone : (899) 922-9121
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0201X | Pediatric Allergist | 2280197 | ZZ |
National Provider Identifier
| NPI | 1952700270 |
|---|---|
| Provider Name | Marco Vidales |
| First Address | Reynosa, TAMAULIPAS 88550 |
| Second Address | Reynosa, TAMAULIPAS 88550 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/08/2014 |
| Last Update Date | 19/08/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.