Provider Demographics
NPI:1336371335
Name:ARREAZA, MARIA MARGARITA (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:MARGARITA
Last Name:ARREAZA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:MARGARITA
Other - Last Name:GRATEROL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2519 NW 52ND ST
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-2203
Mailing Address - Country:US
Mailing Address - Phone:361-815-8311
Mailing Address - Fax:
Practice Address - Street 1:14000 S MILITARY TRL STE 106
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-2600
Practice Address - Country:US
Practice Address - Phone:561-270-5144
Practice Address - Fax:561-450-7599
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-10
Last Update Date:2023-02-27
Deactivation Date:2023-02-07
Deactivation Code:
Reactivation Date:2023-02-14
Provider Licenses
StateLicense IDTaxonomies
FLME117808208000000X
TXN3458208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL010376300Medicaid