NPI Code Detail JSON Logo

1356596068 NPI number — MARIA DE LOURDES VENTURA DE JESUS LABORATORIO CLINICO VILLA CAPRI

NPI Number: 1356596068
Health Care Provider/Practitioner: MARIA DE LOURDES VENTURA DE JESUS LABORATORIO CLINICO VILLA CAPRI

Information about “1356596068” NPI (MARIA DE LOURDES VENTURA DE JESUS LABORATORIO CLINICO VILLA CAPRI) exists in 1356596068 in HTML format HTML  |  1356596068 in plain Text format TXT  |  1356596068 in PDF (Portable Document Format) PDF  |  1356596068 in an XML format XML  formats.

NPI Number : 1356596068 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356596068",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MARIA DE LOURDES VENTURA DE JESUS LABORATORIO CLINICO VILLA CAPRI",
    "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": "PO BOX 2500 PMB 48",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TRUJILLO ALTO",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00977-2500",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-763-8435",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "603 CALLE LODI",
    "SecondLinePracticeLocationAddress": "VILLA CAPRI",
    "PracticeLocationAddressCityName": "SAN JUAN",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00924-3842",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-763-8435",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/21/2008",
    "LastUpdateDate": "03/01/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "VENTURA",
    "AuthorizedOfficialFirstName": "MARIA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.T.",
    "AuthorizedOfficialTelephoneNumber": "787-763-8435",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "291U00000X",
        "TaxonomyName": "Clinical Medical Laboratory",
        "LicenseNumber": "117",
        "LicenseNumberStateCode": "PR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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