NPI Code Detail JSON Logo

1477738573 NPI number — LAUREANO A GIRALDEZ MD

NPI Number: 1477738573
Health Care Provider/Practitioner: LAUREANO A GIRALDEZ MD

Information about “1477738573” NPI (LAUREANO A GIRALDEZ MD) exists in 1477738573 in HTML format HTML  |  1477738573 in plain Text format TXT  |  1477738573 in PDF (Portable Document Format) PDF  |  1477738573 in an XML format XML  formats.

NPI Number : 1477738573 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477738573",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GIRALDEZ",
    "FirstName": "LAUREANO",
    "MiddleName": "A",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GIRALDEZ",
    "OtherFirstName": "LAUREANO",
    "OtherMiddleName": null,
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "1353 AVE LUIS VIGOREAUX",
    "SecondLineMailingAddress": "PMB 314",
    "MailingAddressCityName": "GUAYNABO",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00966",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-426-2554",
    "MailingAddressFaxNumber": "787-792-6299",
    "FirstLinePracticeLocationAddress": "B5 CALLE TABONUCO",
    "SecondLinePracticeLocationAddress": "STE 211",
    "PracticeLocationAddressCityName": "GUAYNABO",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00968-3013",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-426-2554",
    "PracticeLocationAddressFaxNumber": "787-792-6299",
    "EnumerationDate": "01/08/2008",
    "LastUpdateDate": "09/26/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207Y00000X",
          "TaxonomyName": "Otolaryngology Physician",
          "LicenseNumber": "18,377",
          "LicenseNumberStateCode": "PR",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "207Y00000X",
          "TaxonomyName": "Otolaryngology Physician",
          "LicenseNumber": "67923",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Y00000X",
          "TaxonomyName": "Otolaryngology Physician",
          "LicenseNumber": "270425",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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