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NPI Code Detail

MEDICARE: ENRIQUE MURILLO MD

MEDICARE: ENRIQUE MURILLO MD
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
1390200000XStudent in an Organized Health Care Education/Training ProgramBP10069152TX
22084P0800XPsychiatry PhysicianME161134FL

General Provider Information

NPI Number : 1447816889
Entity Type Code : Individual
Provider Name (Legal Business Name) : ENRIQUE MURILLO MD
Provider Business Mailing Address
First Line : 4801 ALBERTA AVE
Second Line :
City : EL PASO
State : TX
Zip : 79905-2707
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 E ROBINSON ST STE 425
Second Line :
City : ORLANDO
State : FL
Zip : 32801-4347
Country : US
Telephone Number : 833-769-3524
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2019
Last Update Date : 05/13/2024

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Directions to “ ENRIQUE MURILLO MD” Practice Location

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