Individual provider Active NPI

Sonia R Enriquez, M.D.

  • Gynecology Physician
  • Lake Mary, FL
National Provider Identifier
1083778393
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
ME55264 Issued in FL
Practice address
731 Stirling Center PL Unit 1931
Lake Mary, FL 32746-5209
Phone
(407) 436-7375
Fax
(407) 986-9007
NPI assigned
Dec 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X ME55264 FL Primary

Addresses

Primary practice location

731 Stirling Center PL Unit 1931
Lake Mary, FL 32746-5209

Mailing address

731 Stirling Center PL Unit 1931
Lake Mary, FL 32746-5209
Phone (407) 436-7375

Other practice location 1

100 W Gore St
Ste 400
Orlando, FL 32806-1044
Phone (407) 422-2641

Other practice location 2

7560 Red Bug Lake Rd Ste 1014
Oviedo, FL 32765-6591
Phone (407) 706-1770

Other practice location 3

422 S Alafaya Trl Ste 26
Orlando, FL 32828-8984
Phone (407) 538-3855

Other practice location 4

4970 S US Highway 17/92
Casselberry, FL 32707-3888
Phone (407) 635-8012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100406000393 FL Practitioner - Obstetrics/Gynecology 5890821599 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Organizations & group practices 1

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1083778393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 STIRLING CENTER PL UNIT 1931",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465209",
            "telephone_number": "407-436-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 STIRLING CENTER PL UNIT 1931",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465209",
            "telephone_number": "407-436-7375",
            "fax_number": "407-986-9007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 W Gore St",
            "address_2": "Ste 400",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061044",
            "country_code": "US",
            "telephone_number": "407-422-2641",
            "fax_number": "407-425-7641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7560 Red Bug Lake Rd Ste 1014",
            "address_purpose": "LOCATION",
            "city": "Oviedo",
            "state": "FL",
            "postal_code": "327656591",
            "country_code": "US",
            "telephone_number": "407-706-1770",
            "fax_number": "407-706-1777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "422 S Alafaya Trl Ste 26",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328288984",
            "country_code": "US",
            "telephone_number": "407-538-3855",
            "fax_number": "407-459-8732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4970 S US Highway 17/92",
            "address_purpose": "LOCATION",
            "city": "Casselberry",
            "state": "FL",
            "postal_code": "327073888",
            "country_code": "US",
            "telephone_number": "407-635-8012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENRIQUEZ",
        "first_name": "SONIA",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME55264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.