Healthcare Provider Details

I. General information

NPI: 1548173867
Provider Name (Legal Business Name): MARICEL BARCELO FERIA FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2026
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6643 CASTELLA DR
ROSHARON TX
77583-8801
US

IV. Provider business mailing address

6643 CASTELLA DR
ROSHARON TX
77583-8801
US

V. Phone/Fax

Practice location:
  • Phone: 786-961-0405
  • Fax:
Mailing address:
  • Phone: 786-961-0405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1129907
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: