# A HENRIQUEZ MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235152695
- **Authorized official:** DR. APOLINAR ADALBERTO HENRIQUEZ MD (OWNER)
- **Authorized official phone:** (321) 537-2612

## Contact information

- **Practice address:** 71 RIVER RIDGE DR, ROCKLEDGE, FL 32955-2905
- **Practice address phone:** (321) 537-2612
- **Mailing address:** 71 RIVER RIDGE DR, ROCKLEDGE, FL 32955-2905
- **Mailing address phone:** (321) 537-2612

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME0042863 | FL | Yes |

## Other

- **Enumeration date:** 07/26/2006
- **Last updated:** 12/20/2013