Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Odelaisys Enriquez, MD

Individual provider General Practice Physician · NPI 1164916615

Odelaisys Enriquez, MD is a General Practice in St Augustine, Florida. Qualified in 2004, 22 years ago. Practices as a sole proprietor, works from 5 locations and accepts Medicare assignment. Licensed in Florida and Puerto Rico.

Years since qualifying
22
Licensed in
FL, PR
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 Arricola Ave
St Augustine, FL 32080-4515
Phone: (904) 825-4368
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 2007 Palm Beach Lakes Blvd, West Palm Beach, FL 33409-6501 — (561) 688-5808
  • 55 Calle Palma, Arecibo, PR 00612-4526 — (787) 650-1030
  • Carretera 129 Km 1.0 Av San Luis, Arecibo, PR 00613 — (787) 650-7272
  • Americo Miranda Ave Rio Piedras, San Juan, PR 00935 — (787) 777-3535

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME173164 (FL)
General Practice Physician Taxonomy 208D00000X · Licence 21065 (PR)

Record details

NPI number1164916615
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 19, 2018
Last updated in NPPESJanuary 6, 2026
Certification dateJanuary 6, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Also practisesFAMILY PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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