Provider Demographics
NPI:1609495845
Name:VEGA ENRIQUEZ, PAULINA (MD)
Entity Type:Individual
Prefix:
First Name:PAULINA
Middle Name:
Last Name:VEGA ENRIQUEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1208 PINE ST APT 519
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-5502
Mailing Address - Country:US
Mailing Address - Phone:915-740-4503
Mailing Address - Fax:
Practice Address - Street 1:2102 TREASURE HILLS BLVD.
Practice Address - Street 2:DEPT. OF INTERNAL MEDICINE - VBMC
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550
Practice Address - Country:US
Practice Address - Phone:956-296-1491
Practice Address - Fax:956-387-4603
Is Sole Proprietor?:No
Enumeration Date:2020-04-08
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program