Enrique Espinosa-Melendez MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C42745 Issued in CA

Legal business name

ENRIQUE ESPINOSA-MELENDEZ MD INC

Doing business as

CLINICA MEDICA CENTRA

Practice address

3802 National Ave
San Diego, CA 92113-3223

Phone

(619) 264-2591

Fax

(619) 264-4116

NPI assigned

Jan 27, 2007

Organization subpart

No

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

Authorized official

Name

Rebecca C Aquino

Title

Billing Representative

Phone

(562) 943-9559

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• CLINICA MEDICA CENTRA Doing business as

Locations

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093861239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 NATIONAL AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921133223",
            "telephone_number": "619-264-2591",
            "fax_number": "619-264-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 NATIONAL AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921133223",
            "telephone_number": "619-264-2591",
            "fax_number": "619-264-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRIQUE ESPINOSA-MELENDEZ MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AQUINO",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "BILLING REPRESENTATIVE",
        "authorized_official_telephone_number": "562-943-9559"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C42745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C427451",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA LAB REGISTRATION",
            "identifier": "CLR333803",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINICA MEDICA CENTRA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Jennifer Ennedy, DO
• Joana Ennin
• Cecilia G Ennis, LMFT
• Katia Marlani Enns, RDN
• Katie Diane Enos
• Martha Rosa Enriquez-Sedano
• Carolina Enriquez
• Cera Enriquez
• Chantel Enriquez, MA
• Christian Enriquez, PT

• Internal Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.