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1336468180 NPI number — CENTRO DE EVALUACION, TRATAMIENTOS Y SALUD INTEGRADA

NPI Number: 1336468180
Health Care Provider/Practitioner: CENTRO DE EVALUACION, TRATAMIENTOS Y SALUD INTEGRADA

Information about “1336468180” NPI (CENTRO DE EVALUACION, TRATAMIENTOS Y SALUD INTEGRADA) exists in 1336468180 in HTML format HTML  |  1336468180 in plain Text format TXT  |  1336468180 in PDF (Portable Document Format) PDF  |  1336468180 in an XML format XML  formats.

NPI Number : 1336468180 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1336468180",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CENTRO DE EVALUACION, TRATAMIENTOS Y SALUD INTEGRADA",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "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": "CALLE SABANA EXT VALLE ALTO",
    "SecondLineMailingAddress": "# 2241",
    "MailingAddressCityName": "PONCE",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00730-4143",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-944-4411",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "CALLE SABANA EXT VALLE ALTO",
    "SecondLinePracticeLocationAddress": "# 2241",
    "PracticeLocationAddressCityName": "PONCE",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00730-4143",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-944-4411",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/19/2010",
    "LastUpdateDate": "05/19/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ORTIZ EMMANUELLI",
    "AuthorizedOfficialFirstName": "MARIE",
    "AuthorizedOfficialMiddleName": "D",
    "AuthorizedOfficialTitle": "PSICOLOGA",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DOCTORADO",
    "AuthorizedOfficialTelephoneNumber": "787-944-4411",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103T00000X",
        "TaxonomyName": "Psychologist",
        "LicenseNumber": "2578",
        "LicenseNumberStateCode": "PR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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