NPI Code Detail JSON Logo

1376878967 NPI number — BELLADONNA MEDICAL WELLNESS

NPI Number: 1376878967
Health Care Provider/Practitioner: BELLADONNA MEDICAL WELLNESS

Information about “1376878967” NPI (BELLADONNA MEDICAL WELLNESS) exists in 1376878967 in HTML format HTML  |  1376878967 in plain Text format TXT  |  1376878967 in PDF (Portable Document Format) PDF  |  1376878967 in an XML format XML  formats.

NPI Number : 1376878967 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376878967",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "GRUPO MEDICO FAMILIAR",
    "ParentOrgTIN": null,
    "OrgName": "BELLADONNA MEDICAL WELLNESS",
    "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": "4253 CARR 2",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "VEGA BAJA",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00693-3619",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-533-7520",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "CARR #2 KM 42",
    "SecondLinePracticeLocationAddress": "EXPRESO VEGA Y MOROVIS",
    "PracticeLocationAddressCityName": "VEGA BAJA",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00693",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-533-7520",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/15/2009",
    "LastUpdateDate": "10/15/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CINTRON-PAGAN",
    "AuthorizedOfficialFirstName": "EVELYN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DIRECTOR",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "787-533-7520",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208D00000X",
          "TaxonomyName": "General Practice Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "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."
        },
        {
          "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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