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1245220276 NPI number — RAFAEL DIAZ-YOSEREV M.D., F.A.C.S

NPI Number: 1245220276
Health Care Provider/Practitioner: RAFAEL DIAZ-YOSEREV M.D., F.A.C.S

Information about “1245220276” NPI (RAFAEL DIAZ-YOSEREV M.D., F.A.C.S) exists in 1245220276 in HTML format HTML  |  1245220276 in plain Text format TXT  |  1245220276 in PDF (Portable Document Format) PDF  |  1245220276 in an XML format XML  formats.

NPI Number : 1245220276 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1245220276",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "X",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DIAZ-YOSEREV",
    "FirstName": "RAFAEL",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D., F.A.C.S",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3211 PONCE DE LEON BLVD",
    "SecondLineMailingAddress": "SUITE 210",
    "MailingAddressCityName": "CORAL GABLES",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33134-7274",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "305-444-6100",
    "MailingAddressFaxNumber": "305-448-8982",
    "FirstLinePracticeLocationAddress": "3211 PONCE DE LEON BLVD",
    "SecondLinePracticeLocationAddress": "SUITE 210",
    "PracticeLocationAddressCityName": "CORAL GABLES",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33134-7274",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "305-444-6100",
    "PracticeLocationAddressFaxNumber": "305-448-8982",
    "EnumerationDate": "10/21/2005",
    "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": "174400000X",
        "TaxonomyName": "Specialist",
        "LicenseNumber": "0034947",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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