Marietta E Enriquez
M.D. | Pediatrics | Female
Marietta E Enriquez, M.D. is a Louisville, Kentucky based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Marietta E Enriquez is
3015 Wilson Ave, Louisville, Kentucky - 40211-1969. She can be contacted on phone at
502-774-4401.
Marietta E Enriquez is a sole proprietor of her business.
NPI number (Unique professional ID) for Marietta E Enriquez is
1124099353 which was assigned by NPPES on 27 Jan, 2006 and it was last updated on 19 Jun, 2019.
Marietta E Enriquez license number is
22441 for Pediatrics (208000000X) in Kentucky.
Marietta E 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:
Marietta E Enriquez basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Marietta E Enriquez |
|---|
| Credential : | M.D. |
|---|
| Gender : | Female |
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Business Address:
Marietta E 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 : | 3015 Wilson Ave
Louisville, KY, 40211-1969
United States |
|---|
| Phone Number : | 502-774-4401 |
|---|
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 : | 1124099353 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 27 Jan, 2006 |
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| Last Updated On : | 19 Jun, 2019 |
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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 Marietta E Enriquez are as mentioned. Primary taxonomy code for Marietta E Enriquez, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 22441 | KY |
Legacy Identifiers:
Other legacy medical identifiers of Marietta E Enriquez such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| K215580 | Other | KY | MEDICARE |
| 64224413 | MEDICAID | KY | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
305 W BROADWAY, SUITE 104
LOUISVILLE, KY, 40202
United States | LOUISVILLE, KY | #5025852924116 |
305 W BROADWAY, SUITE 104
LOUISVILLE, KY, 40202
United States | LOUISVILLE, KY | #5025852924116 |
305 W BROADWAY, SUITE 104
LOUISVILLE, KY, 40202-2129
United States | LOUISVILLE, KY | #5025852924116 |
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 : | 3015 Wilson Ave
Louisville, KY, 40211-1969
United States |
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| Phone Number : | 502-774-4401 |
|---|
| Fax Number : | 502-772-8983 |
|---|
Business Location:
Patients can refer following map for directions to
Marietta E 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.