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1548632946 NPI number — ROBERTO PRIETO HARRIS MD PA

NPI Number: 1548632946
Health Care Provider/Practitioner: ROBERTO PRIETO HARRIS MD PA

Information about “1548632946” NPI (ROBERTO PRIETO HARRIS MD PA) exists in 1548632946 in HTML format HTML  |  1548632946 in plain Text format TXT  |  1548632946 in PDF (Portable Document Format) PDF  |  1548632946 in an XML format XML  formats.

NPI Number : 1548632946 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548632946",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ROBERTO PRIETO HARRIS MD PA",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4217 N MCCOLL RD SUITE 700",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MCALLEN",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78504-4466",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "956-627-0817",
    "MailingAddressFaxNumber": "956-627-0975",
    "FirstLinePracticeLocationAddress": "4217 N MCCOLL RD STE 700",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MCALLEN",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78504-4466",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "956-627-0817",
    "PracticeLocationAddressFaxNumber": "956-627-0975",
    "EnumerationDate": "10/24/2015",
    "LastUpdateDate": "05/14/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PRIETO-HARRIS",
    "AuthorizedOfficialFirstName": "ROBERTO",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DOCTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "956-627-0817",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261Q00000X",
          "TaxonomyName": "Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261Q00000X",
          "TaxonomyName": "Clinic/Center",
          "LicenseNumber": "M7539",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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