{"npi":"1699402255","type":"NPI-2","status":"active","name":{"display":"Vidalus LLC","other":[],"organization_name":"VIDALUS LLC","authorised_official":"Mark Blackburn"},"specialty":{"primary_taxonomy":"261Q00000X","primary_taxonomy_description":"Clinic/Center","slug":"clinic-center","schema_org_specialty":null,"all":[{"code":"261Q00000X","description":"Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"677 CALLE FELIPE GUTIERREZ","city":"SAN JUAN","state":"PR","postal_code":"009242207","country_code":"US","phone":"5615781730"},{"purpose":"MAILING","street_1":"31 HARBOUR LIGHTS DR","city":"HUMACAO","state":"PR","postal_code":"007916055","country_code":"US","phone":"5615781730"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20221005000525","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"PR","pac_id":"1254717812"}]},"enumeration_date":"2022-08-04","last_updated":"2024-10-18","_meta":{"source":"NPPES","snapshot_date":"2024-10-18","doc_url":"https://findmynpi.com/api"}}