Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | A117426 | CA |
N | 207RC0000X | Internist - Cardiovascular Disease | A117426 | CA |
NPI | 1639404031 |
---|---|
Provider Name | Jorge Emanuelle Silva Enciso |
First Address | San Diego, CA 92193-2410 |
Second Address | San Diego, CA 92103-9000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2009 |
Last Update Date | 03/10/2017 |