| Enrique Technologies Inc | |
|
506 4th St Nw Jasper FL 32052-6603 | |
| (904) 626-9244 | |
| (386) 758-8018 |
| Full Name | Enrique Technologies Inc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 506 4th St Nw, Jasper, Florida |
| Authorized Official Name and Position | Aldo Enrique (OWNER) |
| Authorized Official Contact | 9046269244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enrique Technologies Inc 120 Sunset Harbor Way No 201 St Augustine FL 32080-8238 | Enrique Technologies Inc 506 4th St Nw Jasper FL 32052-6603 Ph: (904) 626-9244 |
| NPI Number | 1386876902 |
|---|---|
| Provider Enumeration Date | 08/14/2009 |
| Last Update Date | 08/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386876902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
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