Provider Demographics
NPI:1679747067
Name:BALAGUER, ERIC JOAQUIN (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:JOAQUIN
Last Name:BALAGUER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8905 SW 87 AVENUE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2210
Mailing Address - Country:US
Mailing Address - Phone:305-667-8686
Mailing Address - Fax:305-270-8989
Practice Address - Street 1:8905 SW 87TH AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2227
Practice Address - Country:US
Practice Address - Phone:305-667-8686
Practice Address - Fax:305-667-8680
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-16
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME108747207XS0106X
NY2530662086S0105X
CT0476892086S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA100019202Medicare PIN