Dr. Maria Ludy Rizo
Adolescent Medicine
437 Sw Bethany Dr
Port St Lucie
, Florida 34986-2136
Dr. Maria Ludy Rizo
Adolescent Medicine
437 Sw Bethany Dr
Port St Lucie
, Florida 34986-2136
(772) 344-1786
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Dr. Maria Ludy Rizo
- 437 Sw Bethany Dr
- Port St Lucie, FL
- Zip : 34986-2136
- Fax : (772) 344-1786
- Phone : (561) 344-1775
Second Address
- Dr. Maria Ludy Rizo
- 437 Sw Bethany Dr
- Port St Lucie, FL
- Zip : 34986-2136
- Fax : (772) 344-1786
- Phone : (772) 344-1775
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2080A0000X | Adolescent Medicine | ME87578 | FL |
National Provider Identifier
| NPI | 1275571374 |
|---|---|
| Provider Name | Dr. Maria Ludy Rizo |
| First Address | Port St Lucie, FL 34986-2136 |
| Second Address | Port St Lucie, FL 34986-2136 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/06/2006 |
| Last Update Date | 26/12/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01744072 | (05) | NY |
| 275172100 | (05) | FL |
| 78295 | BLUE CROSS BLUE SHIELD (01) | FL |
| BT7796052 | DEA (01) | FL |
| H71976 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.