Organization Active NPI

Jose L Berlioz MD PA

  • Pediatrics Physician
  • Laredo, TX
National Provider Identifier
1891969358
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
JOSE L BERLIOZ MD PA
Practice address
10710 McPherson Rd
Suite 101
Laredo, TX 78045-6363
Phone
(956) 724-7145
Fax
(956) 724-4944
NPI assigned
Apr 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Authorized official

Name
Mrs. Mary Kafati
Title
General Manager
Phone
(956) 763-6335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

10710 McPherson Rd
Suite 101
Laredo, TX 78045-6363

Mailing address

10710 McPherson Rd
Suite 101
Laredo, TX 78045-6363
Phone (956) 724-7145

Other identifiers 1

IdentifierTypeStateIssuer
030700106MedicaidTX

Other names 1

  • SAFARI PEDIATRICS Doing business as

National Provider Directory

National Provider Directory

Locations

10710 McPherson Rd
Ste 101
Laredo, TX 78045
Phone (956) 724-7145

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1891969358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10710 MCPHERSON RD",
            "address_2": "SUITE 101",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456363",
            "telephone_number": "956-724-7145",
            "fax_number": "956-724-4865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 MCPHERSON RD",
            "address_2": "SUITE 101",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456363",
            "telephone_number": "956-724-7145",
            "fax_number": "956-724-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE L BERLIOZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2023-10-24",
        "certification_date": "2021-05-25",
        "status": "A",
        "authorized_official_last_name": "KAFATI",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "956-763-6335",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030700106",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAFARI PEDIATRICS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SAFARI PEDIATRICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.