Provider Demographics
NPI:1174538813
Name:VIDAL, ANA MARGARITA (MD)
Entity type:Individual
Prefix:DR
First Name:ANA
Middle Name:MARGARITA
Last Name:VIDAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7300 SW 62ND PL STE PHE
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4806
Mailing Address - Country:US
Mailing Address - Phone:305-662-6367
Mailing Address - Fax:305-662-6370
Practice Address - Street 1:7300 SW 62ND PL STE PHE
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4806
Practice Address - Country:US
Practice Address - Phone:305-662-6367
Practice Address - Fax:305-662-6370
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME88264207VM0101X
FLME 88264174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine