# AUGUSTO ENRIQUEZ MD PA

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

## Provider details

- **NPI number:** 1740461771
- **Authorized official:** AUGUSTO ENRIQUEZ MD (OWNER)
- **Authorized official phone:** (305) 441-9419

## Contact information

- **Practice address:** 2695 LEJEUNE ROAD, SUITE 201, CORAL GABLES, FL 33134
- **Practice address phone:** (305) 441-9120
- **Practice address fax:** (305) 441-9432
- **Mailing address:** 2695 LEJEUNE ROAD, SUITE 201, CORAL GABLES, FL 33134
- **Mailing address phone:** (305) 441-9120
- **Mailing address fax:** (305) 441-9432

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME 30070 | FL | Yes |

## Other

- **Enumeration date:** 11/19/2007
- **Last updated:** 02/19/2008