Individual
DR. ENRIQUE PALACIOS MAYORGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1555 POYDRAS ST, NEW ORLEANS, NEW ORLEANS, LA 70112-3701
(504) 568-0811
Mailing address
107 ENGLISH TURN DR, NEW ORLEANS, NEW ORLEANS, LA 70131-3319
(504) 384-0173
(504) 392-2840
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
13380R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00922010
—
MS
05
—
009941620
—
AL
05
—
1563587
—
LA
Enumeration date
10/21/2006
Last updated
08/28/2008
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