MEDICARE: MRS. JANINA OLIVIA ENRIQUEZ NP

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
1	363L00000X	Nurse Practitioner	1095966	TX
2	363L00000X	Nurse Practitioner	408082	NY

General Provider Information

NPI Number	:	1184575201
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JANINA OLIVIA ENRIQUEZ NP

Provider Business Mailing Address
First Line	:	11133 SHADY TRL
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75229-4617
Country	:	US
Telephone Number	:	718-536-2535
Fax Number	:

Provider Business Practice Location Address
First Line	:	2900 EXTERIOR ST STE 202
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10463-7103
Country	:	US
Telephone Number	:	718-536-2535
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

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