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1104977230 NPI number — CENTRO DE NEUMOLOGIA PEDIATRICA

NPI Number: 1104977230
Health Care Provider/Practitioner: CENTRO DE NEUMOLOGIA PEDIATRICA

Information about “1104977230” NPI (CENTRO DE NEUMOLOGIA PEDIATRICA) exists in 1104977230 in HTML format HTML  |  1104977230 in plain Text format TXT  |  1104977230 in PDF (Portable Document Format) PDF  |  1104977230 in an XML format XML  formats.

NPI Number : 1104977230 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104977230",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CENTRO DE NEUMOLOGIA PEDIATRICA",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 8129",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CAGUAS",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00726-8129",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-758-2780",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "735 AVE PONCE DE LEON",
    "SecondLinePracticeLocationAddress": "SUITE 215",
    "PracticeLocationAddressCityName": "SAN JUAN",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00917-5022",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-743-1917",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/16/2007",
    "LastUpdateDate": "08/22/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "RODRIGUEZ-SANTANA",
    "AuthorizedOfficialFirstName": "JOSE",
    "AuthorizedOfficialMiddleName": "RAFAEL",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.D.",
    "AuthorizedOfficialTelephoneNumber": "787-743-1917",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261Q00000X",
        "TaxonomyName": "Clinic/Center",
        "LicenseNumber": "7822",
        "LicenseNumberStateCode": "PR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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