Maritess Mauricio, Apc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A74235 Issued in CA

Legal business name

MARITESS MAURICIO, APC

Doing business as

Scripps Ranch Demartology & Comestic Center

Practice address

9999 Mira Mesa Blvd Ste 103
San Diego, CA 92131-1006

Phone

(858) 689-4990

Fax

(858) 689-9825

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Marytess Mauricio, M.D.

Title

Proprietor

Phone

(858) 689-4990

Specialties & licenses 1

Addresses

Other names 1

• SCRIPPS RANCH DEMARTOLOGY & COMESTIC CENTER Doing business as

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1831209832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9999 MIRA MESA BLVD STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311006",
            "telephone_number": "858-689-4990",
            "fax_number": "858-689-9825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9999 MIRA MESA BLVD STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311006",
            "telephone_number": "858-689-4990",
            "fax_number": "858-689-9825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARITESS MAURICIO, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "MAURICIO",
        "authorized_official_first_name": "MARYTESS",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "858-689-4990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A74235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCRIPPS RANCH DEMARTOLOGY & COMESTIC CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in San Diego, CA
• Providers in San Diego, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.