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1174238406 NPI number — DENIEL OSCAR RIVERA MARTINEZ I TERAPISTA FISICO

NPI Number: 1174238406
Health Care Provider/Practitioner: DENIEL OSCAR RIVERA MARTINEZ I TERAPISTA FISICO

Information about “1174238406” NPI (DENIEL OSCAR RIVERA MARTINEZ I TERAPISTA FISICO) exists in 1174238406 in HTML format HTML  |  1174238406 in plain Text format TXT  |  1174238406 in PDF (Portable Document Format) PDF  |  1174238406 in an XML format XML  formats.

NPI Number : 1174238406 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174238406",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RIVERA MARTINEZ",
    "FirstName": "DENIEL",
    "MiddleName": "OSCAR",
    "NamePrefix": "MR.",
    "NameSuffix": "I",
    "Credential": "TERAPISTA FISICO",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "HC 73 BOX 5998",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CAYEY",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00736-9596",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-689-7803",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "400 AVE INGENIERO NANUEL DOMENECH 402",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN JUAN",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00918-0073",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-689-7803",
    "PracticeLocationAddressFaxNumber": "844-865-3827",
    "EnumerationDate": "01/20/2023",
    "LastUpdateDate": "09/24/2024",
    "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": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "004629",
        "LicenseNumberStateCode": "PR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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