Odelaisys Enriquez, MD
Internal Medicine in St Augustine, Florida
1164916615- Practice location
- 100 Arricola Ave, St Augustine, FL 32080-4515
- Phone
- 904-825-4368
- Fax
- —
- Last updated
- January 6, 2026
Odelaisys Enriquez is an Internal Medicine based in St Augustine, FL. Odelaisys Enriquez practices in St Augustine, FL and has the professional credentials of MD. The NPI Number for Odelaisys Enriquez is 1164916615 and holds a License No. 21065 (PR). The current practice location address for Odelaisys Enriquez is 100 Arricola Ave, St Augustine, FL 32080-4515 and can be reached out via phone at 904-825-4368.
Provider Profile Details
- NPI Number
- 1164916615
- Provider Name
- Odelaisys Enriquez
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 100 Arricola Ave, St Augustine, FL 32080-4515
- Phone Number
- 904-825-4368
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 19, 2018
- Last Update Date
- January 6, 2026
- Certification Date
- January 6, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Arricola Ave
St Augustine, FL 32080-4515 - City
- St Augustine
- State
- Florida
- Zip
- 32080-4515
- Phone Number
- 904-825-4368
Provider Business Mailing Address Details
- Address
- 2460 Old Moultrie RD Ste 1
St Augustine, FL 32086-4198 - City
- St Augustine
- State
- FL
- Zip
- 32086-4198
- Phone Number
- 786-823-4751
License Information
- License Number (1)
- 21065
- License State (1)
- PR
- Taxonomy (1)
- General Practice · 208D00000X
- License Number (2)
- ME173164
- License State (2)
- FL
- Taxonomy (2)
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine providers near St Augustine, FL
View all Internal Medicine providers in St Augustine →Frequently Asked Questions
What is the NPI number of Odelaisys Enriquez, MD?
The NPI number of Odelaisys Enriquez, MD is 1164916615. It was assigned on June 19, 2018 and is currently active in the NPPES registry.
What is the specialty of Odelaisys Enriquez, MD?
Odelaisys Enriquez, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in PR under license number 21065.
Where does Odelaisys Enriquez, MD practice?
The practice location is 100 Arricola Ave, St Augustine, FL 32080-4515. The office can be reached at 904-825-4368 (phone).
What is an NPI number?
A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164916615 directly on the NPPES registry website.