DR. MARIZA SOUZA PETRICK MD NPI 1194779959

NPI Information

NPI: 1194779959
Provider Name: DR. MARIZA SOUZA PETRICK, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
440 W 49TH ST
HIALEAH, FL
ZIP 33012
Phone: (305) 828-5700
Get Directions

DR. Mariza Souza Petrick, MD is a pediatrics in Hialeah, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Mariza Souza Petrick, MD NPI is 1194779959. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

440 W 49TH ST
HIALEAH, FL
ZIP 33012-603
Phone: (305) 828-5700
Fax: (305) 461-5911

The NPI 1194779959 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 3/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		ME0054500	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	BP1721441	OTHER	FLORIDA	DEA
2	09220	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA
3	ME0054500	OTHER	FLORIDA	MEDICAL LICENSE
4	F01252	MEDICARE UPIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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