NPI Code Detail JSON Logo

1245658707 NPI number — RAFAEL ANTONIO BUERBA SILLER M.D./M.H.S.

NPI Number: 1245658707
Health Care Provider/Practitioner: RAFAEL ANTONIO BUERBA SILLER M.D./M.H.S.

Information about “1245658707” NPI (RAFAEL ANTONIO BUERBA SILLER M.D./M.H.S.) exists in 1245658707 in HTML format HTML  |  1245658707 in plain Text format TXT  |  1245658707 in PDF (Portable Document Format) PDF  |  1245658707 in an XML format XML  formats.

NPI Number : 1245658707 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1245658707",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BUERBA SILLER",
    "FirstName": "RAFAEL",
    "MiddleName": "ANTONIO",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D./M.H.S.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BUERBA",
    "OtherFirstName": "RAFAEL",
    "OtherMiddleName": "ANTONIO",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "M.D./M.H.S.",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "755 E MCDOWELL RD FL 2",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PHOENIX",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85006-2506",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "602-521-3250",
    "MailingAddressFaxNumber": "602-521-3251",
    "FirstLinePracticeLocationAddress": "755 E MCDOWELL RD FL 2",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PHOENIX",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85006-2506",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "602-521-3250",
    "PracticeLocationAddressFaxNumber": "602-521-3251",
    "EnumerationDate": "04/02/2014",
    "LastUpdateDate": "11/06/2025",
    "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": "207XX0005X",
          "TaxonomyName": "Sports Medicine (Orthopaedic Surgery) Physician",
          "LicenseNumber": "61668",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "207X00000X",
          "TaxonomyName": "Orthopaedic Surgery Physician",
          "LicenseNumber": "61668",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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