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1558481705 NPI number — NILDA DOLAGARAY-LUGO DMD

NPI Number: 1558481705
Health Care Provider/Practitioner: NILDA DOLAGARAY-LUGO DMD

Information about “1558481705” NPI (NILDA DOLAGARAY-LUGO DMD) exists in 1558481705 in HTML format HTML  |  1558481705 in plain Text format TXT  |  1558481705 in PDF (Portable Document Format) PDF  |  1558481705 in an XML format XML  formats.

NPI Number : 1558481705 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1558481705",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DOLAGARAY-LUGO",
    "FirstName": "NILDA",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "CALLE 4 D-13",
    "SecondLineMailingAddress": "PARQUE MONTEBELLO",
    "MailingAddressCityName": "TRUJILLO ALTO",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00976",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-761-0406",
    "MailingAddressFaxNumber": "787-761-0406",
    "FirstLinePracticeLocationAddress": "IA5 AVE LOMAS VERDES",
    "SecondLinePracticeLocationAddress": "ROYAL PALM",
    "PracticeLocationAddressCityName": "BAYAMON",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00956-3133",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-798-7340",
    "PracticeLocationAddressFaxNumber": "787-798-6080",
    "EnumerationDate": "03/30/2007",
    "LastUpdateDate": "05/11/2011",
    "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": "122300000X",
        "TaxonomyName": "Dentist",
        "LicenseNumber": "1344",
        "LicenseNumberStateCode": "PR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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