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1336099555 NPI number — ANGELY KRYSTAL GONZALEZ MARTELL

NPI Number: 1336099555
Health Care Provider/Practitioner: ANGELY KRYSTAL GONZALEZ MARTELL

Information about “1336099555” NPI (ANGELY KRYSTAL GONZALEZ MARTELL) exists in 1336099555 in HTML format HTML  |  1336099555 in plain Text format TXT  |  1336099555 in PDF (Portable Document Format) PDF  |  1336099555 in an XML format XML  formats.

NPI Number : 1336099555 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1336099555",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GONZALEZ MARTELL",
    "FirstName": "ANGELY",
    "MiddleName": "KRYSTAL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "C1 CALLE 12",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ANASCO",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00610-2817",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "C1 CALLE 12",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ANASCO",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00610-2817",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-464-1435",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/28/2026",
    "LastUpdateDate": "01/28/2026",
    "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": "103TC0700X",
        "TaxonomyName": "Clinical Psychologist",
        "LicenseNumber": "8731",
        "LicenseNumberStateCode": "PR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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