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1265650055 NPI number — ALFRED ARNALDO FREIRE SR. MA

NPI Number: 1265650055
Health Care Provider/Practitioner: ALFRED ARNALDO FREIRE SR. MA

Information about “1265650055” NPI (ALFRED ARNALDO FREIRE SR. MA) exists in 1265650055 in HTML format HTML  |  1265650055 in plain Text format TXT  |  1265650055 in PDF (Portable Document Format) PDF  |  1265650055 in an XML format XML  formats.

NPI Number : 1265650055 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265650055",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FREIRE",
    "FirstName": "ALFRED",
    "MiddleName": "ARNALDO",
    "NamePrefix": "MR.",
    "NameSuffix": "SR.",
    "Credential": "MA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PARQUE ARCOIRIS 227",
    "SecondLineMailingAddress": "SECOND STREET ,APT 105",
    "MailingAddressCityName": "TRUJILLO ALTO",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00976",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-603-0575",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "MCG AND THE ABLE CHILD",
    "SecondLinePracticeLocationAddress": "CALLE DALIA 1615 ROUND HILLS",
    "PracticeLocationAddressCityName": "TRUJILLO ALTO",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00976",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-755-8905",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/24/2007",
    "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": "103TC1900X",
        "TaxonomyName": "Counseling Psychologist",
        "LicenseNumber": "1714",
        "LicenseNumberStateCode": "PR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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