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1023109931 NPI number — MICHELLE LIGONDE-MERISIO MD

NPI Number: 1023109931
Health Care Provider/Practitioner: MICHELLE LIGONDE-MERISIO MD

Information about “1023109931” NPI (MICHELLE LIGONDE-MERISIO MD) exists in 1023109931 in HTML format HTML  |  1023109931 in plain Text format TXT  |  1023109931 in PDF (Portable Document Format) PDF  |  1023109931 in an XML format XML  formats.

NPI Number : 1023109931 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023109931",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LIGONDE-MERISIO",
    "FirstName": "MICHELLE",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LIGONDE",
    "OtherFirstName": "MICHELLE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "HOSPITAL METROPOLITANO DR PILA -PORRATA PILA",
    "SecondLineMailingAddress": "2445 AVE LAS AMERICAS SUITE 309",
    "MailingAddressCityName": "PONCE",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00717",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "939-248-3534",
    "MailingAddressFaxNumber": "954-278-3534",
    "FirstLinePracticeLocationAddress": "METROPAVIA HOSPITAL DR PILA",
    "SecondLinePracticeLocationAddress": "2445 AVENIDA LAS AMERICAS",
    "PracticeLocationAddressCityName": "PONCE",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00717",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "939-248-3534",
    "PracticeLocationAddressFaxNumber": "954-278-8451",
    "EnumerationDate": "09/27/2006",
    "LastUpdateDate": "02/27/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207P00000X",
        "TaxonomyName": "Emergency Medicine Physician",
        "LicenseNumber": "19832",
        "LicenseNumberStateCode": "PR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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