Individual provider Active NPI

Oscar Ramon Enriquez

  • Family Nurse Practitioner
  • Sunland Park, NM
National Provider Identifier
1679337844
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
77887 Issued in NM
Practice address
1580 Appaloosa Dr Ste C310
Sunland Park, NM 88063-8904
Phone
(575) 332-9086
NPI assigned
Feb 8, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 77887 NM Primary

Addresses

Primary practice location

1580 Appaloosa Dr Ste C310
Sunland Park, NM 88063-8904

Mailing address

1580 Appaloosa Dr Ste C310
Sunland Park, NM 88063-8904
Phone (575) 332-9086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20241104000265 NM Practitioner - Nurse Practitioner 1456884147 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
77887NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Viva Health CurrentSince Aug 23, 2024 Accepting new patients

Locations

1580 Appaloosa Dr
Ste C310
Sunland Park, NM 88063
Phone (575) 332-9086

Interoperability endpoints

  • Direct secure messaging: oscar.enriquez.1@24358.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23243/brand/1/csg/1/fhir/r4

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": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1679337844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 APPALOOSA DR STE C310",
            "city": "SUNLAND PARK",
            "state": "NM",
            "postal_code": "880638904",
            "telephone_number": "575-332-9086",
            "fax_number": "575-332-9132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 APPALOOSA DR STE C310",
            "city": "SUNLAND PARK",
            "state": "NM",
            "postal_code": "880638904",
            "telephone_number": "575-332-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENRIQUEZ",
        "first_name": "OSCAR",
        "middle_name": "RAMON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "77887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunland Park, NM

Sources for this page

Verify at the official NPI Registry.