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1902600513
EDIEL ENRIQUEZ
ISABELA, PR
NPI
1902600513
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: PR 002512)
Enumeration Date
2025-04-02
Last Update Date
2025-04-02
Business Address
EDIEL ENRIQUEZ PA
5 CALLE BARBOSA
ISABELA, PR 00662-2956
Phone number: 939-313-0501
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Mailing Address
EDIEL ENRIQUEZ PA
10450 SW 157TH CT APT 206
MIAMI, FL 33196-3649
Phone number: 305-710-4777
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