ODELAISYS ENRIQUEZ, MD

Internal Medicine

Active Individual
NPI: 1164916615

Practice Address

100 ARRICOLA AVE
St Augustine, FL 32080

Phone: (904) 825-4368

Specialties

Specialty Code Primary License
General Practice 208D00000X No 21065 (PR)
Internal Medicine 207R00000X Yes ME173164 (FL)

Frequently Asked Questions

NPI 1164916615 is the National Provider Identifier for ODELAISYS ENRIQUEZ, MD, a Internal Medicine provider located in St Augustine, FL. This NPI was enumerated on June 19, 2018.
ODELAISYS ENRIQUEZ, MD practices at 100 ARRICOLA AVE, St Augustine, FL 32080.

Quick Facts

NPI
1164916615
Type
Individual
Enumerated
Jun 19, 2018
Last Updated
Jan 6, 2026

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