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1043726565 NPI number — LUCITA AGUILERA MT

NPI Number: 1043726565
Health Care Provider/Practitioner: LUCITA AGUILERA MT

Information about “1043726565” NPI (LUCITA AGUILERA MT) exists in 1043726565 in HTML format HTML  |  1043726565 in plain Text format TXT  |  1043726565 in PDF (Portable Document Format) PDF  |  1043726565 in an XML format XML  formats.

NPI Number : 1043726565 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043726565",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "AGUILERA",
    "FirstName": "LUCITA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "AGUILERA DE LA PAZ",
    "OtherFirstName": "LUCITA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "10565 BLOSSOM LAKE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SEMINOLE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33772-7415",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "305-305-0304",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7175 66TH ST N",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PINELLAS PARK",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33781-4004",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "727-369-0346",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/19/2017",
    "LastUpdateDate": "12/19/2017",
    "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": "246QM0706X",
        "TaxonomyName": "Medical Technologist",
        "LicenseNumber": "SU44198",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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