Individual provider Active NPI

Raymart Enriquez, DNP

  • Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1043929995
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN-3835-0 Issued in HI
Practice address
1001 Bishop St Ste 2350
Honolulu, HI 96813-3491
Phone
(808) 425-4156
NPI assigned
Nov 18, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN-3835-0 HI Primary

Addresses

Primary practice location

1001 Bishop St Ste 2350
Honolulu, HI 96813-3491

Mailing address

1001 Bishop St Ste 2350
Honolulu, HI 96813-3491
Phone (808) 425-4156

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address raycortez@queens.org The Queens Medical Center

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260408003940 HI Practitioner - Nurse Practitioner 8729553565 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4055 Valley View LN
Suite 700
Dallas, TX 75244-5045

677 Ala Moana Blvd
Suite 1001
Honolulu, HI 96813-5408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-3835-0HIMDNurse Practitioner

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1043929995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BISHOP ST STE 2350",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133491",
            "telephone_number": "808-425-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BISHOP ST STE 2350",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133491",
            "telephone_number": "808-425-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENRIQUEZ",
        "first_name": "RAYMART",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-18",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "APRN-3835-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "raycortez@queens.org",
            "affiliation": "Y",
            "affiliationName": "The Queens Medical Center",
            "address_1": "1236 Lauhala St Fl 4",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968132417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.