Enriqueta Porras M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

32731 Issued in AZ

Legal business name

ENRIQUETA PORRAS M.D.

Practice address

600 W Thomas Rd
Phoenix, AZ 85013-4213

Phone

(602) 234-9611

Fax

(602) 234-0011

NPI assigned

Sep 2, 2011

Organization subpart

No

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

Authorized official

Name

Enriqueta Porras, M.D.

Title

President/Physician

Phone

(602) 234-9611

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1871874875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134213",
            "telephone_number": "602-234-9611",
            "fax_number": "602-234-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134213",
            "telephone_number": "602-234-9611",
            "fax_number": "602-234-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRIQUETA PORRAS M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "PORRAS",
        "authorized_official_first_name": "ENRIQUETA",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "602-234-9611",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "32731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "941030",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; 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.