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NPI Code Detail

MEDICARE: JONATHAN ENRIQUEZ

MEDICARE: JONATHAN ENRIQUEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care CoordinatorCA

General Provider Information

NPI Number : 1235061128
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN ENRIQUEZ
Provider Business Mailing Address
First Line : 240 SHOTWELL ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94110-1323
Country : US
Telephone Number : 415-552-3870
Fax Number : 415-552-0525
Provider Business Practice Location Address
First Line : 240 SHOTWELL ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94110-1323
Country : US
Telephone Number : 415-552-3870
Fax Number : 415-552-0525
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ JONATHAN ENRIQUEZ ” Practice Location

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