Dr. Enrique M. Boquin, M.D.
Specialist in Vista, CA. Individual provider (NPI-1).
NPI number1891759403
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1891759403
- Entity type
- Individual (NPI-1)
- Name
- Dr. Enrique M. Boquin
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 12, 2006
- Last updated
- Mar 7, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | C52564 | CA | Yes |
Practice location
1000 Vale Terrace DrVista, CA 92084-5218
Phone 760-631-5000 · Fax 760-414-3713
Mailing address
1000 Vale Terrace DrVista, CA 92084-5218
Phone 760-631-5000 · Fax 760-414-3713
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