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Individual
ODELAISYS ENRIQUEZ
Active
Individual
ODELAISYS ENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME173164
FL
208D00000X
General Practice Physician
21065
PR
Other
Enumeration date
06/19/2018
Last updated
01/06/2026
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