Provider Demographics
NPI:1134391964
Name:JORGE A ENRIQUEZ M.D. F.A.C.S., INC
Entity type:Organization
Organization Name:JORGE A ENRIQUEZ M.D. F.A.C.S., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:A
Authorized Official - Last Name:ENRIQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-864-7076
Mailing Address - Street 1:2021 22ND ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-3802
Mailing Address - Country:US
Mailing Address - Phone:661-864-7076
Mailing Address - Fax:661-864-7131
Practice Address - Street 1:2021 22ND ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-3802
Practice Address - Country:US
Practice Address - Phone:661-864-7076
Practice Address - Fax:661-864-7131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-01
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty