Healthcare Provider Details

I. General information

NPI: 1407764632
Provider Name (Legal Business Name): MARIA DE JESUS PAZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2026
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6755 SUTHERLAND AVE
PARMA HEIGHTS OH
44130-4444
US

IV. Provider business mailing address

6755 SUTHERLAND AVE
PARMA HEIGHTS OH
44130-4444
US

V. Phone/Fax

Practice location:
  • Phone: 216-214-6674
  • Fax: 216-214-6674
Mailing address:
  • Phone: 216-214-6674
  • Fax: 216-214-6674

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number1819125
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: