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1629213004 NPI number — JOSE GUILLERMO TORRES M.D., M.P.A.

NPI Number: 1629213004
Health Care Provider/Practitioner: JOSE GUILLERMO TORRES M.D., M.P.A.

Information about “1629213004” NPI (JOSE GUILLERMO TORRES M.D., M.P.A.) exists in 1629213004 in HTML format HTML  |  1629213004 in plain Text format TXT  |  1629213004 in PDF (Portable Document Format) PDF  |  1629213004 in an XML format XML  formats.

NPI Number : 1629213004 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1629213004",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TORRES",
    "FirstName": "JOSE",
    "MiddleName": "GUILLERMO",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D., M.P.A.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 16196",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN JUAN",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00908-6196",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-455-4216",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "456 CALLE SALDANA",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SANTURCE",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00909-1821",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-455-4217",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/12/2008",
    "LastUpdateDate": "12/12/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "175L00000X",
        "TaxonomyName": "Homeopath",
        "LicenseNumber": "7723",
        "LicenseNumberStateCode": "PR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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