MEDICARE: MRS. MARIA HUARTE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	25MA11048600	NJ
2	207LP3000X	Pediatric Anesthesiology Physician	35.134926	OH
3	207L00000X	Anesthesiology Physician	35.134926	OH

General Provider Information

NPI Number	:	1306290127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARIA HUARTE M.D.

Provider Business Mailing Address
First Line	:	3720 RIEDHAM RD
Second Line	:
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44120-5215
Country	:	US
Telephone Number	:	216-219-9252
Fax Number	:

Provider Business Practice Location Address
First Line	:	9500 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-6136
Country	:	US
Telephone Number	:	216-444-6550
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2016
Last Update Date	:	07/20/2023

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