Individual
DR. JOSE L. ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1900
(602) 933-1918
Mailing address
2108 E THOMAS RD, PHOENIX, AZ 85016-7761
(602) 933-3124
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
46455
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110081676A
—
MA
05
—
138234322
—
TX
01
—
138234323
CSHCN
TX
05
—
145606
—
AZ
01
—
8V1710
BCBS #
TX
Enumeration date
08/03/2006
Last updated
08/21/2025
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