Individual provider · Type 1 NPI
Enrique Jose Moreno Martinez, MD
Vascular Surgery Physician · Chuia Vista, CA
NPI number
1225349079
Active
Practice location
1111 Broadway Suite 305
Chuia Vista, CA 91911
Fax (619) 567-7775
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | 28693 (NE) |
| Surgery Physician | 208600000X | ME121618 (FL) |
| Vascular Surgery Physician | 2086S0129X | ME121618 (FL) |
| Vascular Surgery Physician Primary | 2086S0129X | 28693 (NE) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
About NPI 1225349079
Enrique Jose Moreno Martinez, MD's National Provider Identifier is 1225349079, issued on Jun 27, 2010. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Chuia Vista, CA. The record was last updated on Nov 10, 2023.