Healthcare Provider Details

I. General information

NPI: 1689981904
Provider Name (Legal Business Name): JULIO A ENRIQUEZ TORRES ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: JULIO ENRIQUEZ

II. Dates (important events)

Enumeration Date: 09/08/2010
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11970 SW 92ND LN
MIAMI FL
33186-2058
US

IV. Provider business mailing address

11970 SW 92ND LN
MIAMI FL
33186-2058
US

V. Phone/Fax

Practice location:
  • Phone: 786-290-3102
  • Fax:
Mailing address:
  • Phone: 786-290-3102
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN9296289
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number105902
License Number StateWV
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAC003804
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: