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1275675175 NPI number — ADA RODRIGUEZ RIVERA MD

NPI Number: 1275675175
Health Care Provider/Practitioner: ADA RODRIGUEZ RIVERA MD

Information about “1275675175” NPI (ADA RODRIGUEZ RIVERA MD) exists in 1275675175 in HTML format HTML  |  1275675175 in plain Text format TXT  |  1275675175 in PDF (Portable Document Format) PDF  |  1275675175 in an XML format XML  formats.

NPI Number : 1275675175 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1275675175",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RODRIGUEZ RIVERA",
    "FirstName": "ADA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 364944",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN JUAN",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00936-4944",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-365-1891",
    "MailingAddressFaxNumber": "787-273-1848",
    "FirstLinePracticeLocationAddress": "CARR #2 KM 8 5",
    "SecondLinePracticeLocationAddress": "BO JUAN SANCHEZ",
    "PracticeLocationAddressCityName": "BAYAMON",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00960-0248",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-782-8250",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/14/2007",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "208100000X",
        "TaxonomyName": "Physical Medicine & Rehabilitation Physician",
        "LicenseNumber": "10419",
        "LicenseNumberStateCode": "PR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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