| Doctor Name: | DR. NELIDA ROCHA ENRIQUE |
| NPI Number: | 1770697658 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 35033404 |
| Business Practice Address: | 7211 Broadway Cleveland, OH - 44105 |
| Business Phone Number: | 2162711947 |
| Business Fax Number: | 2162710106 |
| Mailing Address: | 7211 Broadway, CLEVELAND |
| State: | OH |
| Postal Code: | 44105 |
| Phone Number: | 2162711947 |
| Fax Number: | 2162710106 |
| NPI Enumeration Date: | 08/18/2006 |
| NPI Last Update Date: | 11/29/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 35033404 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |