Enrique Palacios Mayorga, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

13380R Issued in LA

Practice address

1555 Poydras St
New Orleans
New Orleans, LA 70112-3701

Phone

(504) 568-0811

NPI assigned

Oct 21, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Dr. Enrique Palacios Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1073696407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 ENGLISH TURN DR",
            "address_2": "NEW ORLEANS",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701313319",
            "telephone_number": "504-384-0173",
            "fax_number": "504-392-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 POYDRAS ST",
            "address_2": "NEW ORLEANS",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701123701",
            "telephone_number": "504-568-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALACIOS MAYORGA",
        "first_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-21",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "13380R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009941620",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1563587",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00922010",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ENRIQUE",
            "last_name": "PALACIOS",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Paisley Family Medical Center, LLC
• Andrew Thomas Paiyarat, IDHS
• Miriam Xiomara Paiz-Wahl, MSW, LCSW
• Pranaya Pakala, MD
• Eileen Marie Palace, PH.D.
• Tamara Augusta Palash-Karreman
• Jorge Palavicini, DDS
• Maria Carmen Palazzo, MD PHD MMM
• Amanda Claire Palermo
• Mary L Palermo, MD

• Diagnostic Radiology Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Diagnostic Radiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.