Yunisel Enriquez Tamayo, C-SA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

23728 Issued in FL

Practice address

7411 Golden Glenn CT
Orlando, FL 32807-6255

Phone

(407) 860-9462

NPI assigned

Nov 30, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Enriquez Enriquez Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1821864794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7411 GOLDEN GLENN CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328076255",
            "telephone_number": "407-860-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7411 GOLDEN GLENN CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328076255",
            "telephone_number": "407-860-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENRIQUEZ TAMAYO",
        "first_name": "YUNISEL",
        "credential": "C-SA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "23728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ENRIQUEZ",
            "last_name": "ENRIQUEZ",
            "prefix": "MR.",
            "credential": "C-SA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amanda Kimberly Ennis
• Enriched Drip, LLC
• Enriched Life Care
• Enrique a Calle M D PA
• Enrique Rovira D.M.D.
• Kirsten Lim Enriquez, APRN
• Andrew Ensley, MD
• Samantha Enstad
• Jacqueline Lee Enterkin, RN
• Enterprise Internal Medicine LLC

• Surgical Assistant in Orlando, FL
• Providers in Orlando, FL by specialty
• Surgical Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.