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NPI Code Detail

MEDICARE: PAULINA VEGA ENRIQUEZ M.D

MEDICARE: PAULINA VEGA ENRIQUEZ M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RI0200XInfectious Disease PhysicianMD61579557WA

General Provider Information

NPI Number : 1609495845
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAULINA VEGA ENRIQUEZ M.D
Provider Business Mailing Address
First Line : PO BOX 50095
Second Line :
City : SEATTLE
State : WA
Zip : 98145-5095
Country : US
Telephone Number : 206-520-5700
Fax Number :
Provider Business Practice Location Address
First Line : 825 EASTLAKE AVE E
Second Line :
City : SEATTLE
State : WA
Zip : 98109-4405
Country : US
Telephone Number : 206-520-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2020
Last Update Date : 01/06/2026

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Directions to “ PAULINA VEGA ENRIQUEZ M.D” Practice Location

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