# JOSE L BERLIOZ MD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Safari Pediatrics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922025998
- **Authorized official:** MRS. MARY KAFATI (GENERAL MANAGER)
- **Authorized official phone:** (956) 763-6335

## Contact information

- **Practice address:** 10710 MCPHERSON RD STE 101, LAREDO, TX 78045-6363
- **Practice address phone:** (956) 724-7145
- **Practice address fax:** (956) 724-4944
- **Mailing address:** PO BOX 450594, LAREDO, TX 78045-0014
- **Mailing address phone:** (956) 724-7145
- **Mailing address fax:** (956) 724-4865

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | NULL | Yes |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | — | Yes |
| 2080P0203X | Pediatric Critical Care Medicine Physician | — | NULL | — |
| 2080P0203X | Pediatric Critical Care Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 07/16/2006
- **Last updated:** 01/03/2023