Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BERNARDITA R ENRIQUEZ, M.D.
ActiveBERNARDITA R ENRIQUEZ, M.D. is a Pediatrics healthcare provider located in ROCK ISLAND, Illinois. NPI 1952395972 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · ROCK ISLAND, IL
Registration Details
- NPI Number
- 1952395972
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 6, 2005 (20.976707109466 yrs)
- Last Updated
- Mar 7, 2023
- Licenses
-
036-066809 (IL)34871 (IA)036-066809 (IL)
Practice Information
- Address
-
2750 11TH STROCK ISLAND, IL, 612015216Browse IL providers · Browse ZIP 61201
- Phone
- 5633272100
- Fax
- 5633272102
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
- Additional Specialty
- Pediatric Emergency Medicine
Other Pediatrics Providers in ROCK ISLAND, IL
| Name | Credential | NPI |
|---|---|---|
| REBECCA HAYES | MD | 1780004275 |
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.