ODELAISYS ENRIQUEZ HERNANDEZ


Address: 2007 Palm Beach Lakes Blvd, West Palm Beach, FL 33409-6501
Phone: 5616885808

ODELAISYS ENRIQUEZ HERNANDEZ (NPI# 1164916615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164916615
Entity Type Individual
Full Name ODELAISYS ENRIQUEZ HERNANDEZ
Credential MD
Practice Address 2007 Palm Beach Lakes Blvd
West Palm Beach
FL 33409-6501
Mailing Address 14401 Sw 33rd St
Miami
FL 33175-7471
Practice Telephone 5616885808
Practice Fax Number 5614208560
Mailing Telephone 3052065452
Enumeration Date 2018-06-19
Last Update Date 2019-01-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine ACN1106 FL Allopathic & Osteopathic Physicians
N 208D00000X General Practice 21065 PR Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
Carretera 129 Km 1.0 Av San Luis, Arecibo, PR 00613 7876507272
55 Calle Palma, Arecibo, PR 006124526 7876501030
Americo Miranda Ave Rio Piedras, San Juan, PR 00935 7877773535

Office Location

Street Address 2007 PALM BEACH LAKES BLVD
City WEST PALM BEACH
State FL
Zip Code 33409-6501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316947211 Wayne Mucci Specialist 2007 Palm Beach Lakes Blvd, West Palm Beach, FL 33409-6501 2005-07-21
1396358230 Kayle Vancampen Nurse Practitioner 2007 Palm Beach Lakes Blvd, West Palm Beach, FL 33409-6501 2020-08-30
1922658111 Janetzi E Sanchez Nurse Practitioner 2007 Palm Beach Lakes Blvd, West Palm Beach, FL 33409-6501 2019-09-19
1174090500 Genevieve San Nicolas Nurse Practitioner 2007 Palm Beach Lakes Blvd, West Palm Beach, FL 33409-6501 2018-10-24
1639645328 Angelina St. Germain Nurse Practitioner 2007 Palm Beach Lakes Blvd, West Palm Beach, FL 33409-6501 2018-10-19
1649745563 Samer M Darwich Family Medicine 2007 Palm Beach Lakes Blvd, West Palm Beach, FL 33409-6501 2018-10-07
1326534504 Amanda Marten Registered Nurse 2007 Palm Beach Lakes Blvd, West Palm Beach, FL 33409-6501 2018-07-10
1952808594 Dianelsys Gonzalez Nurse Practitioner 2007 Palm Beach Lakes Blvd, West Palm Beach, FL 33409-6501 2018-04-10
1548766157 Judy Van Der Grift Nurse Practitioner 2007 Palm Beach Lakes Blvd, West Palm Beach, FL 33409-6501 2018-04-03
1235638693 Hana Korb Physician Assistant 2007 Palm Beach Lakes Blvd, West Palm Beach, FL 33409-6501 2018-02-12
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154928000 Gerard Joseph Valerius Jr. Behavior Technician 1818 S. Australian Ave, Suite 420, West Palm Beach, FL 33409 2020-10-05
1295342277 Stela Karkatselos Nurse Practitioner 2700 Palm Beach Lakes Blvd., West Palm Beach, FL 33409 2020-09-24
1831703974 Daylin Gonzalez Behavior Technician 1818 S.australian Ave, Suite 420, West Palm Beach, FL 33409 2020-09-05
1518582436 All-most Family, Inc In Home Supportive Care 4047 Okeechobee Blvd., Suite 110, West Palm Beach, FL 33409 2020-06-16
1750911285 Denisse Ramirez Technician, Other 1818 S. Australian Ave, Suite 420, West Palm Beach, FL 33409 2020-01-23
1558915009 Hess Massage and Fitness LLC. Massage Therapist 2090 Palm Beach Lakes Blvd #900, West Palm Beach, FL 33409 2019-08-01
1184195638 Tyrone Woods Developmental Therapist 4287 Lake Lucerne Circle, West Palm Beach, FL 33409 2018-12-10
1700352119 Julio Cesar Lugo Sr. Counselor 4100 Bear Lakes Ct. Building 14, Apt. #108, West Palm Beach, FL 33409 2018-10-23
1073009353 Kaitlyn Rose Green Physician Assistant 560 Village Blvd Suite #150, West Palm Beach, FL 33409 2018-07-10
1063901247 Dominique J Carn Technician, Other 42000 Community Dr, Apt 2211, West Palm Beach, FL 33409 2018-05-03
Find all providers in zip 33409

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265065429 Baikal Marketing Group Inc. Internal Medicine 2500 Metrocentre Blvd Ste 7, West Palm Beach, FL 33407-3107 2020-02-17
1427517531 Prime Care Family Health Centers Inc Internal Medicine 1747 45th St, West Palm Beach, FL 33407-2167 2019-03-18
1053899179 Margarette Jerome Internal Medicine 13348 62nd Ct N, West Palm Beach, FL 33412-1944 2018-07-31
1821474941 Gabriela Goldstein Md Pa Internal Medicine 1411 N Flagler Dr Ste 6000, West Palm Beach, FL 33401-3416 2015-07-31
1730578451 Healing Hearts Holistic Center Internal Medicine 2351 Vista Pkwy, Ste 500, West Palm Beach, FL 33411-6726 2015-01-19
1124420542 Manuel Abreu Md Pa Internal Medicine 3472 Forest Hill Blvd Ste 3b, West Palm Beach, FL 33406-5864 2014-09-17
1407269301 Eric Daniel Medina Internal Medicine 2000 Palm Beach Lakes Blvd. Suite #400, West Palm Beach, FL 33409 2014-06-09
1164859369 Steven Kanner Do Pllc Internal Medicine 2051 45th St Ste 303, West Palm Beach, FL 33407-2031 2013-10-02
1083956163 Jessica Amelia Porter Internal Medicine 724 Cresta Cir, West Palm Beach, FL 33413-1082 2013-03-26
1215277041 David E Cohen Internal Medicine 7173 Tradition Cove Ln W, West Palm Beach, FL 33412-3017 2013-02-14
Find all providers in WEST PALM BEACH

Competitor

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City WEST PALM BEACH
Zip Code 33409

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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