Provider Demographics
NPI:1457365272
Name:MARIA J PARICIO MD PA
Entity Type:Organization
Organization Name:MARIA J PARICIO MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:PARICIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-669-2969
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME938722084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU7187ZMedicare PIN
FLI51180Medicare UPIN