NPI Code Detail JSON Logo

1194834333 NPI number — ARNALDO RAFAEL BONILLA PT

NPI Number: 1194834333
Health Care Provider/Practitioner: ARNALDO RAFAEL BONILLA PT

Information about “1194834333” NPI (ARNALDO RAFAEL BONILLA PT) exists in 1194834333 in HTML format HTML  |  1194834333 in plain Text format TXT  |  1194834333 in PDF (Portable Document Format) PDF  |  1194834333 in an XML format XML  formats.

NPI Number : 1194834333 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1194834333",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BONILLA",
    "FirstName": "ARNALDO",
    "MiddleName": "RAFAEL",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "PT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1232 SE 16TH AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HOMESTEAD",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33035-2208",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "954-873-1465",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1201 NW 16TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MIAMI",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33125-1624",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "305-742-9318",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/30/2006",
    "LastUpdateDate": "07/08/2007",
    "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": "1108",
        "LicenseNumberStateCode": "PR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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