Individual
GERARDO TAMAYO-ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 COMMUNITY DR DEPT OF, MANHASSET, NY 11030-3816
(516) 562-0100
Mailing address
4301 W MARKHAM ST # 520-4, LITTLE ROCK, AR 72205-7101
(501) 526-7516
(501) 686-5215
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
E-8382
AR
207L00000X
Anesthesiology Physician
2012020960
MO
208600000X
Surgery Physician
2005-0262
NM
208600000X
Surgery Physician
2012020960
MO
208600000X
Surgery Physician
Primary
302552
NY
2086S0102X
Surgical Critical Care Physician
E-8382
AR
Other
Enumeration date
02/06/2007
Last updated
10/17/2023
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