Healthcare Provider Details

I. General information

NPI: 1013914100
Provider Name (Legal Business Name): BEATRIX DAGMAR ARAIZA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BEATRIX DAGMAR OUICKERT M.D.

II. Dates (important events)

Enumeration Date: 07/05/2005
Last Update Date: 07/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 PARK EAST DR SUITE 300
BEACHWOOD OH
44122-4399
US

IV. Provider business mailing address

3700 PARK EAST DR SUIT 300
BEACHWOOD OH
44122-4399
US

V. Phone/Fax

Practice location:
  • Phone: 855-292-1401
  • Fax: 866-396-8340
Mailing address:
  • Phone: 855-292-1401
  • Fax: 866-396-8340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberME75351
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: