NPI Code Detail JSON Logo

1306128103 NPI number — OLIVIA SUSAN PEREZ RPH

NPI Number: 1306128103
Health Care Provider/Practitioner: OLIVIA SUSAN PEREZ RPH

Information about “1306128103” NPI (OLIVIA SUSAN PEREZ RPH) exists in 1306128103 in HTML format HTML  |  1306128103 in plain Text format TXT  |  1306128103 in PDF (Portable Document Format) PDF  |  1306128103 in an XML format XML  formats.

NPI Number : 1306128103 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1306128103",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PEREZ",
    "FirstName": "OLIVIA",
    "MiddleName": "SUSAN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RPH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "15711 SW 152ND ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MIAMI",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33187-5417",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "305-234-0633",
    "MailingAddressFaxNumber": "305-234-8247",
    "FirstLinePracticeLocationAddress": "15711 SW 152ND ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MIAMI",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33187-5417",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "305-234-0633",
    "PracticeLocationAddressFaxNumber": "305-234-8247",
    "EnumerationDate": "09/16/2011",
    "LastUpdateDate": "09/16/2011",
    "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": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "PS33257",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "15070",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.