NPI Code Detail JSON Logo

1437340445 NPI number — MARIA LOURDES FERNANDEZ REYES MD, MPH

NPI Number: 1437340445
Health Care Provider/Practitioner: MARIA LOURDES FERNANDEZ REYES MD, MPH

Information about “1437340445” NPI (MARIA LOURDES FERNANDEZ REYES MD, MPH) exists in 1437340445 in HTML format HTML  |  1437340445 in plain Text format TXT  |  1437340445 in PDF (Portable Document Format) PDF  |  1437340445 in an XML format XML  formats.

NPI Number : 1437340445 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1437340445",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "REYES",
    "FirstName": "MARIA LOURDES",
    "MiddleName": "FERNANDEZ",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD, MPH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 1592",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LA JOLLA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92038-1592",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "619-988-2210",
    "MailingAddressFaxNumber": "619-280-4916",
    "FirstLinePracticeLocationAddress": "6371 RANCHO MISSION RD",
    "SecondLinePracticeLocationAddress": "UNIT 2",
    "PracticeLocationAddressCityName": "SAN DIEGO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92108-2016",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "619-988-2210",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/05/2007",
    "LastUpdateDate": "09/10/2012",
    "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": "207ZP0102X",
        "TaxonomyName": "Anatomic Pathology & Clinical Pathology Physician",
        "LicenseNumber": "A49139",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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