Individual
DR. ENRIQUE DAZA RACINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5602B SHIELDS DR, BETHESDA, MD 20817-3571
(301) 897-0044
(301) 897-0046
Mailing address
5602B SHIELDS DR, BETHESDA, MD 20817-3571
(301) 897-0044
(301) 897-0046
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
19033
DC
208600000X
Surgery Physician
Primary
D42181
MD
2086S0127X
Trauma Surgery Physician
BD42181
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025430100
—
DC
05
—
040064400
—
DC
05
—
415096100
—
MD
Enumeration date
05/08/2006
Last updated
02/12/2026
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