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1497195879 NPI number — FERNANDO VIEJO 333

NPI Number: 1497195879
Health Care Provider/Practitioner: FERNANDO VIEJO 333

Information about “1497195879” NPI (FERNANDO VIEJO 333) exists in 1497195879 in HTML format HTML  |  1497195879 in plain Text format TXT  |  1497195879 in PDF (Portable Document Format) PDF  |  1497195879 in an XML format XML  formats.

NPI Number : 1497195879 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1497195879",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VIEJO",
    "FirstName": "FERNANDO",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "333",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "C MARTE 126 ATLANTIS VIEW",
    "SecondLineMailingAddress": "ISLA VERDE",
    "MailingAddressCityName": "CAROLINA",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00979",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-644-3889",
    "MailingAddressFaxNumber": "787-268-2787",
    "FirstLinePracticeLocationAddress": "C MARTE 126 ATLANTIS VIEW",
    "SecondLinePracticeLocationAddress": "ISLA VERDE",
    "PracticeLocationAddressCityName": "CAROLINA",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00982-0982",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-644-3889",
    "PracticeLocationAddressFaxNumber": "787-268-2787",
    "EnumerationDate": "06/28/2013",
    "LastUpdateDate": "06/28/2013",
    "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": "174M00000X",
          "TaxonomyName": "Veterinarian",
          "LicenseNumber": "333",
          "LicenseNumberStateCode": "PR",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "174MM1900X",
          "TaxonomyName": "Medical Research Veterinarian",
          "LicenseNumber": "33",
          "LicenseNumberStateCode": "PR",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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