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1356483069 NPI number — RAFAEL A NIEVES-CASTRO PHARM.D.

NPI Number: 1356483069
Health Care Provider/Practitioner: RAFAEL A NIEVES-CASTRO PHARM.D.

Information about “1356483069” NPI (RAFAEL A NIEVES-CASTRO PHARM.D.) exists in 1356483069 in HTML format HTML  |  1356483069 in plain Text format TXT  |  1356483069 in PDF (Portable Document Format) PDF  |  1356483069 in an XML format XML  formats.

NPI Number : 1356483069 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356483069",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NIEVES-CASTRO",
    "FirstName": "RAFAEL",
    "MiddleName": "A",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PHARM.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PMS 172 PO BOX 70344",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN JUAN",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00936",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-455-0384",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "52 CALLE SAN MIGUEL",
    "SecondLinePracticeLocationAddress": "URB OCEAN PARK",
    "PracticeLocationAddressCityName": "SANTURCE",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00911-1727",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-455-0384",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/12/2007",
    "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": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "004455",
          "LicenseNumberStateCode": "PR",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "PS 38763",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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