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1447685722 NPI number — MS. CARMEN ROXANA DE JESUS

NPI Number: 1447685722
Health Care Provider/Practitioner: MS. CARMEN ROXANA DE JESUS

Information about “1447685722” NPI (MS. CARMEN ROXANA DE JESUS) exists in 1447685722 in HTML format HTML  |  1447685722 in plain Text format TXT  |  1447685722 in PDF (Portable Document Format) PDF  |  1447685722 in an XML format XML  formats.

NPI Number : 1447685722 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1447685722",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DE JESUS",
    "FirstName": "CARMEN",
    "MiddleName": "ROXANA",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DE JESUS",
    "OtherFirstName": "CARMEN",
    "OtherMiddleName": "ROXANA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MSW",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "BARBOSA 2021",
    "SecondLineMailingAddress": "VILLA PALMERAS",
    "MailingAddressCityName": "SAN JUAN",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00912-4243",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-636-0235",
    "MailingAddressFaxNumber": "787-768-0565",
    "FirstLinePracticeLocationAddress": "BARBOSA 2021",
    "SecondLinePracticeLocationAddress": "VILLA PALMERAS",
    "PracticeLocationAddressCityName": "SAN JUAN",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00912-4243",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-636-0235",
    "PracticeLocationAddressFaxNumber": "787-768-0565",
    "EnumerationDate": "09/05/2013",
    "LastUpdateDate": "09/05/2013",
    "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": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "5372",
        "LicenseNumberStateCode": "PR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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