MEDICARE: JOSE NATIVIDAD PEREZ ENRIQUEZ M.D.

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	207Q00000X	Family Medicine Physician	P6696	TX

General Provider Information

NPI Number	:	1386958858
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSE NATIVIDAD PEREZ ENRIQUEZ M.D.

Provider Business Mailing Address
First Line	:	58 E PRICE RD
Second Line	:
City	:	BROWNSVILLE
State	:	TX
Zip	:	78521-3508
Country	:	US
Telephone Number	:	956-554-0080
Fax Number	:

Provider Business Practice Location Address
First Line	:	58 E PRICE RD
Second Line	:
City	:	BROWNSVILLE
State	:	TX
Zip	:	78521-3508
Country	:	US
Telephone Number	:	956-545-0080
Fax Number	:	956-545-0071

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

Provider Enumeration Date	:	07/27/2010
Last Update Date	:	02/02/2026

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