Provider Demographics
NPI:1699560367
Name:ENRIQUEZ, AMY ELIZABETH
Entity type:Individual
Prefix:MISS
First Name:AMY
Middle Name:ELIZABETH
Last Name:ENRIQUEZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:542 MONTELL DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79927-3550
Mailing Address - Country:US
Mailing Address - Phone:915-702-8144
Mailing Address - Fax:
Practice Address - Street 1:542 MONTELL DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79927-3550
Practice Address - Country:US
Practice Address - Phone:915-702-8144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider