Provider Demographics
NPI:1700044617
Name:HERNANDEZ VILA, ENRIQUE A (MD)
Entity Type:Individual
Prefix:MR
First Name:ENRIQUE
Middle Name:A
Last Name:HERNANDEZ VILA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ENRIQUE
Other - Middle Name:A
Other - Last Name:HERNANDEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:7480 BIRD RD STE 560
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-6657
Mailing Address - Country:US
Mailing Address - Phone:305-707-5688
Mailing Address - Fax:305-760-4149
Practice Address - Street 1:7480 BIRD RD STE 560
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-6657
Practice Address - Country:US
Practice Address - Phone:305-707-5688
Practice Address - Fax:305-760-4149
Is Sole Proprietor?:No
Enumeration Date:2008-05-28
Last Update Date:2024-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME126765207RI0011X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology