NPI Code Detail JSON Logo

1104607720 NPI number — CLAUDIA MARIA AMENGUAL ARNP

NPI Number: 1104607720
Health Care Provider/Practitioner: CLAUDIA MARIA AMENGUAL ARNP

Information about “1104607720” NPI (CLAUDIA MARIA AMENGUAL ARNP) exists in 1104607720 in HTML format HTML  |  1104607720 in plain Text format TXT  |  1104607720 in PDF (Portable Document Format) PDF  |  1104607720 in an XML format XML  formats.

NPI Number : 1104607720 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104607720",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "AMENGUAL",
    "FirstName": "CLAUDIA",
    "MiddleName": "MARIA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "ARNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "FITZPATRICK",
    "OtherFirstName": "CLAUDIA",
    "OtherMiddleName": "MARIA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "10923 SW 134TH CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MIAMI",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33186-3320",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "305-824-7659",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "9333 SW 152ND ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PALMETTO BAY",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33157-1778",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "305-251-2500",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/10/2023",
    "LastUpdateDate": "10/10/2023",
    "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": "363LP2300X",
          "TaxonomyName": "Primary Care Nurse Practitioner",
          "LicenseNumber": "11009872",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LA2100X",
          "TaxonomyName": "Acute Care Nurse Practitioner",
          "LicenseNumber": "2023007532",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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