Dr. Jose L. Enriquez
M.D. | Pediatric Emergency Medicine | Male
Dr. Jose L. Enriquez, M.D. is a Wilkes Barre, Pennsylvania based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Dr. Jose L. Enriquez is
1000 E Mountain Blvd, Wilkes Barre, Pennsylvania - 18711-0027. He can be contacted on phone at
570-808-7762 and fax number 570-808-6128.
Dr. Jose L. Enriquez is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Jose L. Enriquez is
1194733485 which was assigned by NPPES on 03 Aug, 2006 and it was last updated on 15 Jul, 2022.
Dr. Jose L. Enriquez license number is
TMD004700 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Pennsylvania.
Dr. Jose L. Enriquez has special qualifications to manage emergencies in infants and children.
Complete Profile:
Dr. Jose L. Enriquez basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Dr. Jose L. Enriquez |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Jose L. 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 : | 1000 E Mountain Blvd
Wilkes Barre, PA, 18711-0027
United States |
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| Phone Number : | 570-808-7762 |
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| Fax Number : | 570-808-6128 |
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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 : | 1194733485 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 03 Aug, 2006 |
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| Last Updated On : | 15 Jul, 2022 |
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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 Dr. Jose L. Enriquez are as mentioned. Primary taxonomy code for Dr. Jose L. Enriquez, M.D. is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207P00000X | Emergency Medicine | No | H6812 | TX |
| 208000000X | Pediatrics | No | H6812 | TX |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | No | 238086 | MA |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | TMD004700 | PA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Jose L. Enriquez such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 138234323 | Other | TX | CSHCN |
| 8V1710 | Other | TX | BCBS # |
| 138234322 | MEDICAID | TX | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
55 LAKE AVE N,
WORCESTER, MA, 01655-0002
United States | WORCESTER, MA | 774-442-2599 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
FHIR
(FHIR URL) | https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
| No affiliation |
|
| 55 LAKE AVE N,
WORCESTER, MA, 01655-0002
United States |
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 : | 100 N Academy Ave
Danville, PA, 17822-4903
United States |
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| Phone Number : | 570-271-6144 |
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| Fax Number : | 570-271-6578 |
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Business Location:
Patients can refer following map for directions to
Dr. Jose L. 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.