Individual provider · Type 1 NPI

Enrique Vergara Escudero, MD

Student in an Organized Health Care Education/Training Program · Minneapolis, MN

NPI number 1295588622 Active

Practice location

500 Harvard St SE
Minneapolis, MN 55455-0363

Call (612) 273-8383 Map

Mailing address

420 Delaware St SE
Minneapolis, MN 55455-0341

Other practice locations

  • 701 Park Ave, Minneapolis, MN 55415-1623 · (612) 873-3000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000X34210 (MN)
Student in an Organized Health Care Education/Training Program Primary 390200000X35520 (MN)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1295588622

Enrique Vergara Escudero, MD's National Provider Identifier is 1295588622, issued on Apr 8, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Minneapolis, MN. The record was last updated on May 11, 2025.