Individual provider Active NPI

Maria Luisa Revert Font, M.D.

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1083034268
Registry record updated Apr 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
N4034 Issued in TX
Practice address
7635 Canal St
Houston, TX 77012-1143
Phone
(832) 723-4303
Fax
(713) 926-9105
NPI assigned
Apr 26, 2014
Last updated
Apr 26, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X N4034 TX Primary

Addresses

Primary practice location

7635 Canal St
Houston, TX 77012-1143

Mailing address

PO Box 230209
Houston, TX 77223-0209
Phone (713) 660-1880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150209000960 TX Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 1456676766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1398470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398470400000",
    "number": "1083034268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230209",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772230209",
            "telephone_number": "713-660-1880",
            "fax_number": "713-926-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7635 CANAL ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770121143",
            "telephone_number": "832-723-4303",
            "fax_number": "713-926-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVERT FONT",
        "first_name": "MARIA LUISA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-26",
        "last_updated": "2014-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N4034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.