-- Bernardita R Enriquez --
M.D. | Pediatrics | Female
-- Bernardita R Enriquez --, M.D. is a Rock Island, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of -- Bernardita R Enriquez -- is
2750 11th St, Rock Island, Illinois - 61201-5216. She can be contacted on phone at
563-327-2100 and fax number 563-327-2102.
-- Bernardita R Enriquez -- is a sole proprietor of her business.
NPI number (Unique professional ID) for -- Bernardita R Enriquez -- is
1952395972 which was assigned by NPPES on 06 Sep, 2005 and it was last updated on 07 Mar, 2023.
-- Bernardita R Enriquez -- license number is
036-066809 for Pediatrics (208000000X) in Illinois.
-- Bernardita R Enriquez -- is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
-- Bernardita R Enriquez -- basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | -- Bernardita R Enriquez -- |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
-- Bernardita R Enriquez -- address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2750 11th St
Rock Island, IL, 61201-5216
United States |
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| Phone Number : | 563-327-2100 |
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| Fax Number : | 563-327-2102 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1952395972 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 06 Sep, 2005 |
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| Last Updated On : | 07 Mar, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for -- Bernardita R Enriquez -- are as mentioned. Primary taxonomy code for -- Bernardita R Enriquez --, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 036-066809 | IL |
| 208000000X | Pediatrics | No | 34871 | IA |
| 2080P0204X | Pediatrics, Pediatric Emergency Medicine | No | 036-066809 | IL |
Legacy Identifiers:
Other legacy medical identifiers of -- Bernardita R Enriquez -- such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 036066809 | MEDICAID | IL | |
| 0568980 | MEDICAID | IA | |
| 0568998 | MEDICAID | IA | |
| 093469 | Other (non-Medicare) | | Health Alliance # |
| 141943 | MEDICARE ID-Type Unspecified | IL | Medicare UGS |
| 336031012 | Other (non-Medicare) | IL | Controlled Substance # |
| 421060724 | Other (non-Medicare) | IA | Billing Tax ID# for CHC |
| 421060724005 | MEDICAID | IL | |
| 421606724A5 | Other (non-Medicare) | IL | John Deere Health |
| 8122859 | Other (non-Medicare) | IL | Illinois BC/BS |
| 93612 | Other (non-Medicare) | IA | Iowa BC/BS seen in RI |
| F81272 | MEDICARE UPIN | | |
| IL01A5 | Other (non-Medicare) | IL | John Deere EDI# |
| K06413 | MEDICARE ID-Type Unspecified | IL | Illinois Medicare Part B |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 500 W River Dr
Davenport, IA, 52801-1014
United States |
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| Phone Number : | 563-336-3000 |
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| Fax Number : | 563-327-2102 |
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Business Location:
Patients can refer following map for directions to
-- Bernardita R Enriquez -- practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.