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1619468519 NPI number — TATIANA HILDA REINO AGOSTO

NPI Number: 1619468519
Health Care Provider/Practitioner: TATIANA HILDA REINO AGOSTO

Information about “1619468519” NPI (TATIANA HILDA REINO AGOSTO) exists in 1619468519 in HTML format HTML  |  1619468519 in plain Text format TXT  |  1619468519 in PDF (Portable Document Format) PDF  |  1619468519 in an XML format XML  formats.

NPI Number : 1619468519 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619468519",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "REINO AGOSTO",
    "FirstName": "TATIANA",
    "MiddleName": "HILDA",
    "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": "306 CALLE 22",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN JUAN",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00927-5206",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-413-1296",
    "MailingAddressFaxNumber": "787-413-1296",
    "FirstLinePracticeLocationAddress": "1199 W FLAGLER ST STE 7",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MIAMI",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33130-1055",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "305-324-5072",
    "PracticeLocationAddressFaxNumber": "305-403-2981",
    "EnumerationDate": "05/25/2018",
    "LastUpdateDate": "09/08/2020",
    "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": "DN-25258",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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