NPI Code Detail JSON Logo

1457871485 NPI number — CYNARA LEON MD

NPI Number: 1457871485
Health Care Provider/Practitioner: CYNARA LEON MD

Information about “1457871485” NPI (CYNARA LEON MD) exists in 1457871485 in HTML format HTML  |  1457871485 in plain Text format TXT  |  1457871485 in PDF (Portable Document Format) PDF  |  1457871485 in an XML format XML  formats.

NPI Number : 1457871485 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1457871485",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LEON",
    "FirstName": "CYNARA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1605 SANSOM ST APT 313",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PHILADELPHIA",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19103-5142",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-536-9259",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3401 CIVIC CENTER BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PHILADELPHIA",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19104-4319",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "267-425-2959",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/21/2017",
    "LastUpdateDate": "06/18/2021",
    "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": "2080P0214X",
          "TaxonomyName": "Pediatric Pulmonology Physician",
          "LicenseNumber": "MT222161",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "208000000X",
          "TaxonomyName": "Pediatrics Physician",
          "LicenseNumber": "021804",
          "LicenseNumberStateCode": "PR",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.