1972501781 NPI number — DR. VINCENT PATRICK WALSH SOLDEVILA D.P.M.

Table of content: DR. VINCENT PATRICK WALSH SOLDEVILA D.P.M. (NPI 1972501781)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972501781 NPI number — DR. VINCENT PATRICK WALSH SOLDEVILA D.P.M.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WALSH SOLDEVILA
Provider First Name:
VINCENT
Provider Middle Name:
PATRICK
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.P.M.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1972501781
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/08/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
URB QUINTAS DE CUPEY
Provider Second Line Business Mailing Address:
A 4 CALLE 14
Provider Business Mailing Address City Name:
SAN JUAN
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00926-6221
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-287-6245
Provider Business Mailing Address Fax Number:
787-287-6245

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
GUAYNABO RADIOLOGY
Provider Second Line Business Practice Location Address:
10 AVE LAS CUMBRES STE 303
Provider Business Practice Location Address City Name:
GUAYNABO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00969
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-287-6245
Provider Business Practice Location Address Fax Number:
787-287-6245
Provider Enumeration Date:
07/14/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 213ES0103X , with the licence number:  0082 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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