IndividualActive
Benjamin Vidalis, M.D.
NPI 1104245562 · Neurological Surgery Physician · Santa Fe, NM
Provider details
- NPI number
- 1104245562
- Entity type
- Individual
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
Practice location
465 Saint Michaels Dr Ste 107
Santa Fe, NM 87505-7690
Phone: (505) 988-3233
Fax: (505) 988-3562
Mailing address
Msc 10 5615
Albuquerque, NM 87131-0001
Registry dates
- Enumerated
- 2014-04-14
- Last updated
- 2021-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.