NPI Code Detail JSON Logo

1053527820 NPI number — VITALIE CRUDU M.D.

NPI Number: 1053527820
Health Care Provider/Practitioner: VITALIE CRUDU M.D.

Information about “1053527820” NPI (VITALIE CRUDU M.D.) exists in 1053527820 in HTML format HTML  |  1053527820 in plain Text format TXT  |  1053527820 in PDF (Portable Document Format) PDF  |  1053527820 in an XML format XML  formats.

NPI Number : 1053527820 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053527820",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CRUDU",
    "FirstName": "VITALIE",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3201 NE 183RD ST APT 2108",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AVENTURA",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33160-2896",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "786-652-6781",
    "MailingAddressFaxNumber": "786-652-6781",
    "FirstLinePracticeLocationAddress": "9999 NE 2ND AVE STE 215",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MIAMI SHORES",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33138-2345",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "786-652-6781",
    "PracticeLocationAddressFaxNumber": "786-652-6781",
    "EnumerationDate": "05/16/2007",
    "LastUpdateDate": "04/29/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "ME115532",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RC0000X",
          "TaxonomyName": "Cardiovascular Disease Physician",
          "LicenseNumber": "ME115532",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RI0011X",
          "TaxonomyName": "Interventional Cardiology Physician",
          "LicenseNumber": "ME115532",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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