Individual ProviderCristina VidalNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address8765 S Dixie Hwy, Miami, FL 33143-7811(305) 740-6840PECOS EnrollmentBased on the most recent information from CMS, provider Cristina Vidal does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 10:37 AM.Profile DetailsProvider ID1467837500Provider TypeIndividualFull NameVidal, CristinaGenderFemaleSole ProprietorYesEnumeration Date7/29/2015Last Updated10/4/2015Contact InformationPractice LocationPractice Address8765 S Dixie Hwy, Miami, FL 33143-7811Phone(305) 740-6840Fax(305) 740-5438Mailing LocationMailing Address7747 SW 74th Ln, Miami, FL 33143-4044PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense9308654FloridaCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicense9308654Florida