Active NPI
Jose L Berlioz MD PA
- Pediatrics Physician
- Laredo, TX
National Provider Identifier
1891969358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030700106 | Medicaid | TX |
Other names 1
- SAFARI PEDIATRICS
National Provider Directory
National Provider DirectoryLocations
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.