MEDICARE: HEALTHY TOTS CHILDREN'S SERVICES, LLC

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	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1588103253
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHY TOTS CHILDREN'S SERVICES, LLC

Provider Business Mailing Address
First Line	:	2804 SOUTHMOST RD
Second Line	:
City	:	BROWNSVILLE
State	:	TX
Zip	:	78521-4787
Country	:	US
Telephone Number	:	956-525-7576
Fax Number	:	956-525-7503

Provider Business Practice Location Address
First Line	:	2804 SOUTHMOST RD
Second Line	:
City	:	BROWNSVILLE
State	:	TX
Zip	:	78521-4787
Country	:	US
Telephone Number	:	956-525-7576
Fax Number	:	956-525-7503

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. MARIA RIZZA MARIANO
Credential	:	M.D.
Telephone Number	:	269-548-5545

Provider Enumeration Date	:	02/14/2017
Last Update Date	:	05/22/2023

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