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Dr. Enrique M. Boquin, MD
Specialist in Vista, California
NPI 1891759403

Enrique M. Boquin is a Specialist based in Vista, CA. Enrique M. Boquin practices in Vista, CA and has the professional credentials of MD. The NPI Number for Enrique M. Boquin is 1891759403 and holds a License No. C52564 (California).

The current practice location address for Enrique M. Boquin is 1000 Vale Terrace Dr, Vista, CA and can be reached out via phone at 760-631-5000 and via fax at 760-414-3713.

Location: 1000 Vale Terrace Dr, Vista, CA, 92084-5218
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891759403
Provider Name
Enrique M. Boquin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1000 Vale Terrace Dr, Vista, CA, 92084-5218
Phone Number
760-631-5000
Fax Number
760-414-3713
Provider Enumeration Date
04/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1013048240 05 MI
031511 01 MI MICHIGAN STATE LICENSE #
1108211371 01 MI BLUE CROSS/BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1000 Vale Terrace Dr
City
Vista
State
California
Zip
92084-5218
Phone Number
760-631-5000
Fax Number
760-414-3713
person
Provider Business Mailing Address Details
Address
1000 Vale Terrace Dr
City
Vista
State
California
Zip
92084-5218
Phone Number
760-631-5000
Fax Number
760-414-3713
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
C52564 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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