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1417863093 NPI number — AILYN GARCIA

NPI Number: 1417863093
Health Care Provider/Practitioner: AILYN GARCIA

Information about “1417863093” NPI (AILYN GARCIA) exists in 1417863093 in HTML format HTML  |  1417863093 in plain Text format TXT  |  1417863093 in PDF (Portable Document Format) PDF  |  1417863093 in an XML format XML  formats.

NPI Number : 1417863093 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417863093",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GARCIA",
    "FirstName": "AILYN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MONDEJAR",
    "OtherFirstName": "REYNALDO",
    "OtherMiddleName": "ORLANDO",
    "OtherNamePrefix": "MR.",
    "OtherNameSuffix": null,
    "OtherCredential": "MONDEJAR",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "27487 SERENE PINE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MAGNOLIA",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77355-1457",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "832-365-4586",
    "MailingAddressFaxNumber": "346-299-9105",
    "FirstLinePracticeLocationAddress": "27487 SERENE PINE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MAGNOLIA",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77355-1457",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "832-365-4586",
    "PracticeLocationAddressFaxNumber": "346-299-9105",
    "EnumerationDate": "08/21/2026",
    "LastUpdateDate": "08/21/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "253Z00000X",
        "TaxonomyName": "In Home Supportive Care Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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