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NPI Code Detail

MEDICARE: FRANCISCO JAVIER ENRIQUEZ M.D.

MEDICARE: FRANCISCO JAVIER 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
1208000000XPediatrics Physician39794WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15772524OTHERWICIGNA
25180756OTHERWIAETNA
3810128991OTHERWIPRIVATE HEALTHCARE SYSTEM
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952306441
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANCISCO JAVIER ENRIQUEZ M.D.
Provider Business Mailing Address
First Line : PO BOX 778789
Second Line :
City : CHICAGO
State : IL
Zip : 60677-8789
Country : US
Telephone Number : 414-672-1353
Fax Number :
Provider Business Practice Location Address
First Line : 1032 S CESAR E CHAVEZ DR
Second Line :
City : MILWAUKEE
State : WI
Zip : 53204-2203
Country : US
Telephone Number : 414-672-1353
Fax Number : 414-672-4265
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2005
Last Update Date : 06/27/2023

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