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Individual

DR. ALBERT J ENRIQUEZ

Active
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Individual

DR. ALBERT J ENRIQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
32133
MN
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
ME133507
FL
207VG0400X
Gynecology Physician
32133
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
023047800
FL
01
P00914343
RR MEDICARE
MN
Enumeration date
12/09/2005
Last updated
10/17/2018
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