Provider Demographics
NPI:1780489450
Name:ESTEVES, VINICIUS BORGES CARDOZO (MD)
Entity type:Individual
Prefix:DR
First Name:VINICIUS
Middle Name:BORGES CARDOZO
Last Name:ESTEVES
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 E BROAD ST STE 320
Mailing Address - Street 2:
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035-6447
Mailing Address - Country:US
Mailing Address - Phone:440-414-9100
Mailing Address - Fax:
Practice Address - Street 1:125 E BROAD ST STE 320
Practice Address - Street 2:
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-6447
Practice Address - Country:US
Practice Address - Phone:440-414-9100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH75.000065207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology