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1104152677 NPI number — SOCORRO MIRYAM MATHEWS ARNP

NPI Number: 1104152677
Health Care Provider/Practitioner: SOCORRO MIRYAM MATHEWS ARNP

Information about “1104152677” NPI (SOCORRO MIRYAM MATHEWS ARNP) exists in 1104152677 in HTML format HTML  |  1104152677 in plain Text format TXT  |  1104152677 in PDF (Portable Document Format) PDF  |  1104152677 in an XML format XML  formats.

NPI Number : 1104152677 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104152677",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MATHEWS",
    "FirstName": "SOCORRO",
    "MiddleName": "MIRYAM",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "ARNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6100 SW 183RD WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SOUTHWEST RANCHES",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33331-1640",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "954-806-9697",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7150 W 20TH AVE STE 109",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HIALEAH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33016-5509",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "305-827-8399",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/19/2009",
    "LastUpdateDate": "10/19/2009",
    "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": "363L00000X",
        "TaxonomyName": "Nurse Practitioner",
        "LicenseNumber": "2626162",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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