Provider Demographics
NPI:1184653172
Name:ALDAN, VICENTE SABLAN (MD)
Entity Type:Individual
Prefix:DR
First Name:VICENTE
Middle Name:SABLAN
Last Name:ALDAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:KULOT DE ROSA DR., CHALAN KIA
Mailing Address - Street 2:P.O. BOX 502878, C.K.
Mailing Address - City:SAIPAN
Mailing Address - State:MP
Mailing Address - Zip Code:96950-2878
Mailing Address - Country:US
Mailing Address - Phone:670-234-2901
Mailing Address - Fax:670-234-2906
Practice Address - Street 1:KULOT DE ROSA DR., CHALAN KIYA
Practice Address - Street 2:
Practice Address - City:SAIPAN
Practice Address - State:MP
Practice Address - Zip Code:96950
Practice Address - Country:US
Practice Address - Phone:670-234-2901
Practice Address - Fax:670-234-2906
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MP777-0001-1207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MPF21639Medicare UPIN