NPI Code Detail JSON Logo

1366708679 NPI number — PRPR-MED, CORP.

NPI Number: 1366708679
Health Care Provider/Practitioner: PRPR-MED, CORP.

Information about “1366708679” NPI (PRPR-MED, CORP.) exists in 1366708679 in HTML format HTML  |  1366708679 in plain Text format TXT  |  1366708679 in PDF (Portable Document Format) PDF  |  1366708679 in an XML format XML  formats.

NPI Number : 1366708679 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1366708679",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PRPR-MED, CORP.",
    "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": "29 URB LOS FLAMBOYANES",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AGUADA",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00602-3119",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-607-1408",
    "MailingAddressFaxNumber": "877-360-8910",
    "FirstLinePracticeLocationAddress": "ROAD PR 115 KM 20.1 INTERIOR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AGUADA",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00602-3119",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-607-1408",
    "PracticeLocationAddressFaxNumber": "877-360-8910",
    "EnumerationDate": "04/11/2012",
    "LastUpdateDate": "02/01/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SANCHEZ RIVERA",
    "AuthorizedOfficialFirstName": "EDGAR",
    "AuthorizedOfficialMiddleName": "A.",
    "AuthorizedOfficialTitle": "PRESIDENTE",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "787-607-1408",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "302R00000X",
          "TaxonomyName": "Health Maintenance Organization",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "PR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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