NPI Code Detail JSON Logo

1518157262 NPI number — PROSTHETIC ART SPECIALIST

NPI Number: 1518157262
Health Care Provider/Practitioner: PROSTHETIC ART SPECIALIST

Information about “1518157262” NPI (PROSTHETIC ART SPECIALIST) exists in 1518157262 in HTML format HTML  |  1518157262 in plain Text format TXT  |  1518157262 in PDF (Portable Document Format) PDF  |  1518157262 in an XML format XML  formats.

NPI Number : 1518157262 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1518157262",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PROSTHETIC ART SPECIALIST",
    "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": "7600 SW 136 ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MIAMI",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33156",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "786-251-7974",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "14433 D DIXIE HWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MIAMI",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33176",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "305-251-4525",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/30/2007",
    "LastUpdateDate": "07/30/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "NORIEGA",
    "AuthorizedOfficialFirstName": "MARIA",
    "AuthorizedOfficialMiddleName": "D",
    "AuthorizedOfficialTitle": "OWNER PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "786-251-7974",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "332BC3200X",
        "TaxonomyName": "Customized Equipment (DME)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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