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1053921023 NPI number — ALEXANDRA MARIE RIVERA CASTRO MD

NPI Number: 1053921023
Health Care Provider/Practitioner: ALEXANDRA MARIE RIVERA CASTRO MD

Information about “1053921023” NPI (ALEXANDRA MARIE RIVERA CASTRO MD) exists in 1053921023 in HTML format HTML  |  1053921023 in plain Text format TXT  |  1053921023 in PDF (Portable Document Format) PDF  |  1053921023 in an XML format XML  formats.

NPI Number : 1053921023 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053921023",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RIVERA CASTRO",
    "FirstName": "ALEXANDRA",
    "MiddleName": "MARIE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "BOULEVARD DEL RIO 1",
    "SecondLineMailingAddress": "APT H203 AVE LOS FILTROS #300",
    "MailingAddressCityName": "GUAYNABO",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00971",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "939-232-7040",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "CARR 22 BARRIO MONACILLOS HOSPITAL ONCOLOGICO",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN JUAN",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00935-0001",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-763-4149",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/05/2020",
    "LastUpdateDate": "10/09/2022",
    "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": "208D00000X",
        "TaxonomyName": "General Practice Physician",
        "LicenseNumber": "22873",
        "LicenseNumberStateCode": "PR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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