Provider Demographics
NPI:1104868538
Name:PARICIO, MARIA J (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:J
Last Name:PARICIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:7325 SW 63RD AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4812
Mailing Address - Country:US
Mailing Address - Phone:305-669-2969
Mailing Address - Fax:305-669-9660
Practice Address - Street 1:7325 SW 63RD AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4812
Practice Address - Country:US
Practice Address - Phone:305-669-2969
Practice Address - Fax:305-669-9660
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-11
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 938722084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU7187ZMedicare ID - Type Unspecified
FLI51180Medicare UPIN