Vidalus LLC
NPI 1699402255 · Clinic/Center · San Juan, PR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vidalus LLC is a Clinic/Center organization in San Juan, PR (NPI 1699402255).
Provider details
- NPI number
- 1699402255
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Blackburn, Manager(561) 578-1730
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Vidalus LLC
Registry dates
- Enumerated
- 2022-08-04
- Last updated
- 2024-10-18
- Certified
- 2024-10-18
Frequently asked questions
- What is Vidalus LLC's NPI number?
- Vidalus LLC's National Provider Identifier (NPI) is 1699402255, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vidalus LLC?
- Vidalus LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Vidalus LLC located?
- Vidalus LLC's practice location on file with NPPES is 677 Calle Felipe Gutierrez, San Juan, PR 00924-2207.
- What is Vidalus LLC's phone number?
- The practice phone number listed in the NPPES registry for Vidalus LLC is (561) 578-1730.
- Does Vidalus LLC accept Medicare?
- Vidalus LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Vidalus LLC?
- The authorized official listed on Vidalus LLC's NPPES record is Mark Blackburn, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vidalus LLC's NPI active?
- Yes — Vidalus LLC's NPI (1699402255) is active in the NPPES registry as of the last update on 2024-10-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.