Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ODELAISYS ENRIQUEZ, MD
Active Sole ProprietorODELAISYS ENRIQUEZ, MD is a Internal Medicine healthcare provider located in ST AUGUSTINE, Florida. NPI 1164916615 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · ST AUGUSTINE, FL
Registration Details
- NPI Number
- 1164916615
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 19, 2018 (7.972731650493 yrs)
- Last Updated
- Jan 6, 2026
- Licenses
-
21065 (PR)ME173164 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 ARRICOLA AVEST AUGUSTINE, FL, 320804515Browse FL providers · Browse ZIP 32080
- Phone
- 9048254368
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
Other Internal Medicine Providers in ST AUGUSTINE, FL
| Name | Credential | NPI |
|---|---|---|
| MARIA TERESA DAVID | D.O. | 1013914787 |
| SUHAS P NEERUKONDA | MD | 1538145602 |
| DR. JIGNESH R PATEL | MD | 1487693636 |
| DAVID A WEINSHEL | MD | 1033146055 |
| DR. ROSEMARIE L. LIM | M.D. | 1013945864 |
| WALTER B FRADY | M.D. | 1255361382 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.