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1508197492 NPI number — SANTA ANDINO-VERGARA M.D.

NPI Number: 1508197492
Health Care Provider/Practitioner: SANTA ANDINO-VERGARA M.D.

Information about “1508197492” NPI (SANTA ANDINO-VERGARA M.D.) exists in 1508197492 in HTML format HTML  |  1508197492 in plain Text format TXT  |  1508197492 in PDF (Portable Document Format) PDF  |  1508197492 in an XML format XML  formats.

NPI Number : 1508197492 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508197492",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ANDINO-VERGARA",
    "FirstName": "SANTA",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "61 CALLE SAN LUIS",
    "SecondLineMailingAddress": "ESTANCIAS DE GRAN VISTA",
    "MailingAddressCityName": "GURABO",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00778-5094",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-764-9974",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "566-B CALLE JUAN J. JIMENEZ",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN JUAN",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00918",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-764-9974",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/17/2010",
    "LastUpdateDate": "02/16/2017",
    "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": "208D00000X",
        "TaxonomyName": "General Practice Physician",
        "LicenseNumber": "17811",
        "LicenseNumberStateCode": "PR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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