Provider Demographics
NPI:1932127859
Name:ENRIQUE TECHNOLOGIES, INC.
Entity Type:Organization
Organization Name:ENRIQUE TECHNOLOGIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALDO
Authorized Official - Middle Name:C
Authorized Official - Last Name:ENRIQUE
Authorized Official - Suffix:
Authorized Official - Credentials:MANUFACTURER
Authorized Official - Phone:904-461-2929
Mailing Address - Street 1:120 SUNSET HARBOR WAY
Mailing Address - Street 2:#201
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32080-8238
Mailing Address - Country:US
Mailing Address - Phone:904-461-2929
Mailing Address - Fax:904-471-6430
Practice Address - Street 1:120 SUNSET HARBOR WAY
Practice Address - Street 2:#201
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32080-8238
Practice Address - Country:US
Practice Address - Phone:904-461-2929
Practice Address - Fax:904-471-6430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies