Provider Demographics
NPI:1083729677
Name:VAZQUEZ ESCARPANTER, ENRIQUE (MD)
Entity Type:Individual
Prefix:DR
First Name:ENRIQUE
Middle Name:
Last Name:VAZQUEZ ESCARPANTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14740 SW 26TH ST STE 107
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33185-5948
Mailing Address - Country:US
Mailing Address - Phone:305-388-1118
Mailing Address - Fax:305-223-3242
Practice Address - Street 1:14740 SW 26TH ST STE 107
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33185-5948
Practice Address - Country:US
Practice Address - Phone:305-388-1118
Practice Address - Fax:305-223-3242
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLACN260208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLACN260OtherAREA OF CRITICAL NEED MEDICAL DOCTOR
PR0021710Medicare ID - Type Unspecified