ODELAISYS ENRIQUEZ MD
NPI 1164916615
Internal Medicine in St Augustine, FL

Q: What is Odelaisys Enriquez's NPI number?

The NPI number for Odelaisys Enriquez is 1164916615. It was assigned to this individual provider in the NPPES registry on June 19, 2018.

Q: What is Odelaisys Enriquez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since June 19, 2018PECOS EnrolledAccepts Medicare Assignment

100 ARRICOLA AVE, ST AUGUSTINE, FL 32080(904) 825-4368 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 6, 2026, Jun 10, 2024, Jan 5, 2019 and 2 more (5 updates tracked since 2018).

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About Odelaisys Enriquez Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ODELAISYS ENRIQUEZ MD (NPI 1164916615) is an individual internal medicine provider in St Augustine, Florida, licensed in Florida (ME173164) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1164916615

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameODELAISYS ENRIQUEZCredential: MD

Location Address100 ARRICOLA AVESt Augustine, FL 32080-4515

Mailing Address2460 Old Moultrie Rd Ste 1St Augustine, FL 32086-4198 · (786) 823-4751

Phone(904) 825-4368

Sole ProprietorYes

Medical School CMSOtherGraduated 2004

Enumeration DateJune 19, 2018

Last NPPES UpdateJanuary 6, 20265 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2026

✔ NPI 1164916615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · ME173164

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 21065 (PR)

100 ARRICOLA AVE, St Augustine, FL 32080

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Secondary Practice Locations 4

Location 1Carretera 129 Km 1.0 Av San LuisArecibo, PR 00613 · Phone (787) 650-7272

Location 22007 Palm Beach Lakes BlvdWest Palm Beach, FL 33409-6501 · Phone (561) 688-5808 · Fax (561) 420-8560

Location 355 Calle PalmaArecibo, PR 00612-4526 · Phone (787) 650-1030

Location 4Americo Miranda Ave Rio PiedrasSan Juan, PR 00935 · Phone (787) 777-3535

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Odelaisys Enriquez Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385980333

PECOS Enrollment IDI20190111000784

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

34 services31 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

27 services16 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32080 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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