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1558524876 NPI number — DAYRYS TEJEDA D.M.D.

NPI Number: 1558524876
Health Care Provider/Practitioner: DAYRYS TEJEDA D.M.D.

Information about “1558524876” NPI (DAYRYS TEJEDA D.M.D.) exists in 1558524876 in HTML format HTML  |  1558524876 in plain Text format TXT  |  1558524876 in PDF (Portable Document Format) PDF  |  1558524876 in an XML format XML  formats.

NPI Number : 1558524876 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1558524876",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TEJEDA",
    "FirstName": "DAYRYS",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "D.M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2711 SW 22ND AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MIAMI",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33133-3101",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "305-607-9297",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "13757 SW 152ND ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MIAMI",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33177-8125",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "305-250-5390",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/07/2008",
    "LastUpdateDate": "05/09/2024",
    "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": "1223P0221X",
          "TaxonomyName": "Pediatric Dentistry",
          "LicenseNumber": "052895",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223P0221X",
          "TaxonomyName": "Pediatric Dentistry",
          "LicenseNumber": "DN17706",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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