NPI 1952395972 · live from the CMS NPI Registry
Bernardita R Enriquez, M.D.
Pediatrics in Rock Island, IL. National Provider Identifier 1952395972, active.
NPI record
| NPI | 1952395972 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics 208000000X |
| Practice location | 2750 11th St, Rock Island, IL 61201 |
| Practice phone | 563-327-2100 |
| Mailing address | 500 W River Dr, Davenport, IA 52801 |
| Enumerated | September 6, 2005 |
| Last updated | March 7, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics primary | 208000000X | 036-066809 (IL) |
| Pediatrics | 208000000X | 34871 (IA) |
| Pediatrics, Pediatric Emergency Medicine | 2080P0204X | 036-066809 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.