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1497163893 NPI number — CENTRO SERVICIOS PRIMARIOS DE SALUD DE PATILLAS INC.SI SATELLITE CLINI

NPI Number: 1497163893
Health Care Provider/Practitioner: CENTRO SERVICIOS PRIMARIOS DE SALUD DE PATILLAS INC.SI SATELLITE CLINI

Information about “1497163893” NPI (CENTRO SERVICIOS PRIMARIOS DE SALUD DE PATILLAS INC.SI SATELLITE CLINI) exists in 1497163893 in HTML format HTML  |  1497163893 in plain Text format TXT  |  1497163893 in PDF (Portable Document Format) PDF  |  1497163893 in an XML format XML  formats.

NPI Number : 1497163893 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1497163893",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CENTRO SERVICIOS PRIMARIOS DE SALUD DE PATILLAS INC.SI SATELLITE CLINI",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "32 MUNOZ RIVERA STREET",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SANTA ISABEL",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00757-0000",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-845-5841",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "32 MUNOZ RIVERA ST.",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SANTA ISABEL",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00757-0000",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-845-5841",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/29/2014",
    "LastUpdateDate": "07/29/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "RIVERA",
    "AuthorizedOfficialFirstName": "CARMEN",
    "AuthorizedOfficialMiddleName": "S",
    "AuthorizedOfficialTitle": "ADMINISTRATIVE ASSISTANT",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "BBA",
    "AuthorizedOfficialTelephoneNumber": "787-845-5841",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QC1500X",
        "TaxonomyName": "Community Health Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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