NPI Code Detail JSON Logo

1609066877 NPI number — MARLENE LIZBETH SUBILLAGA

NPI Number: 1609066877
Health Care Provider/Practitioner: MARLENE LIZBETH SUBILLAGA

Information about “1609066877” NPI (MARLENE LIZBETH SUBILLAGA) exists in 1609066877 in HTML format HTML  |  1609066877 in plain Text format TXT  |  1609066877 in PDF (Portable Document Format) PDF  |  1609066877 in an XML format XML  formats.

NPI Number : 1609066877 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609066877",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SUBILLAGA",
    "FirstName": "MARLENE",
    "MiddleName": "LIZBETH",
    "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": "CALLE 436 MY 18 COUNTRY CLUB",
    "SecondLineMailingAddress": "CUARTA EXTENCION",
    "MailingAddressCityName": "CAROLINA",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00983",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "939-969-0712",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "COND. GOLDEN TOWER C8",
    "SecondLinePracticeLocationAddress": "AVE. PONTEZUELA",
    "PracticeLocationAddressCityName": "CAROLINA",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00983",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-769-5240",
    "PracticeLocationAddressFaxNumber": "787-757-0021",
    "EnumerationDate": "07/25/2007",
    "LastUpdateDate": "07/25/2007",
    "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": "183700000X",
        "TaxonomyName": "Pharmacy Technician",
        "LicenseNumber": "4845",
        "LicenseNumberStateCode": "PR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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