MEDICARE: MR. LAZARO 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
1	363LA2100X	Acute Care Nurse Practitioner	APRN11037906	FL

General Provider Information

NPI Number	:	1568269637
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. LAZARO ENRIQUEZ

Provider Business Mailing Address
First Line	:	296 E 4TH ST UNIT 202
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-6227
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	296 E 4TH ST UNIT 202
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-6227
Country	:	US
Telephone Number	:	786-260-5368
Fax Number	:

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

Provider Enumeration Date	:	02/26/2025
Last Update Date	:	03/01/2025

Similar Medicare Providers

1730909797 — YADIRA CARIDAD VALDIVIA
Practice Location Address:

296 E 4TH ST UNIT 201
HIALEAH, FL
33010-6227

Practice Phone: 786-918-4307
Practice Fax:

1902415201 — JENIPHER LISBET MILAN
Practice Location Address:

15725 NW 52ND AVE APT 307
HIALEAH, FL
33014-6227

Practice Phone: 786-859-9354
Practice Fax:

1841882677 — YAISIS PEREZ
Practice Location Address:

15725 NW 52ND AVE APT 104
HIALEAH, FL
33014-6227

Practice Phone: 786-663-5175
Practice Fax:

1669045829 — MARA PEREZ-MIGHTY
Practice Location Address:

15725 NW 52ND AVE APT 307
HIALEAH, FL
33014-6227

Practice Phone: 786-402-3936
Practice Fax:

1326875352 — CLAUDIA FUNDORA
Practice Location Address:

21 E 3RD ST APT 101
HIALEAH, FL
33010-4982

Practice Phone: 772-812-4137
Practice Fax:

1356293484 — ILEANA DIAZ BORRERO
Practice Location Address:

65 W 4TH ST APT 202
HIALEAH, FL
33010-4783

Practice Phone: 786-294-8942
Practice Fax:

Directions to “ MR. LAZARO ENRIQUEZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.