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1447783246 NPI number — MAYTE SOLANGE RUIZ SANTIAGO M.D.

NPI Number: 1447783246
Health Care Provider/Practitioner: MAYTE SOLANGE RUIZ SANTIAGO M.D.

Information about “1447783246” NPI (MAYTE SOLANGE RUIZ SANTIAGO M.D.) exists in 1447783246 in HTML format HTML  |  1447783246 in plain Text format TXT  |  1447783246 in PDF (Portable Document Format) PDF  |  1447783246 in an XML format XML  formats.

NPI Number : 1447783246 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1447783246",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RUIZ SANTIAGO",
    "FirstName": "MAYTE",
    "MiddleName": "SOLANGE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5750 COLLINS AVE",
    "SecondLineMailingAddress": "APT 14G",
    "MailingAddressCityName": "MIAMI BEACH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33140-2313",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "305-200-7681",
    "MailingAddressFaxNumber": "786-558-5984",
    "FirstLinePracticeLocationAddress": "900 W 49TH ST STE 502",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HIALEAH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33012-3488",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "786-618-5182",
    "PracticeLocationAddressFaxNumber": "567-345-6138",
    "EnumerationDate": "04/07/2017",
    "LastUpdateDate": "02/24/2022",
    "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": "2084P0800X",
        "TaxonomyName": "Psychiatry Physician",
        "LicenseNumber": "144232",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X 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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