Provider Demographics
NPI:1699801944
Name:VERA, ENRIQUE ARIEL (MD)
Entity type:Individual
Prefix:
First Name:ENRIQUE
Middle Name:ARIEL
Last Name:VERA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:A11 ARROYO ST
Mailing Address - Street 2:EL REMANSO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-721-1582
Mailing Address - Fax:787-721-1583
Practice Address - Street 1:1413 AVE FERNANDEZ JUNCOS
Practice Address - Street 2:SUITE 2B
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909
Practice Address - Country:US
Practice Address - Phone:787-721-1582
Practice Address - Fax:787-721-1583
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PR3155207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR602209OtherMMM
PR8768OtherFIRST MEDICAL IMC
PR062874OtherCRUZ AZUL
PR209255OtherPREFERRED HEALTH UTI
PR23155OtherMCS
PR93478OtherTRIPLE S
PR93478OtherMEDICARE
PR9090033OtherHUMANA
PR93478OtherPANAMERICAN LIFE
PR3434OtherAMERICAN HEALTH
PR4196OtherPREFERRED MEDICARE CHOICE
PR93478OtherMEDICARE