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1629340641 NPI number — ALBERTO VASQUEZ

NPI Number: 1629340641
Health Care Provider/Practitioner: ALBERTO VASQUEZ

Information about “1629340641” NPI (ALBERTO VASQUEZ) exists in 1629340641 in HTML format HTML  |  1629340641 in plain Text format TXT  |  1629340641 in PDF (Portable Document Format) PDF  |  1629340641 in an XML format XML  formats.

NPI Number : 1629340641 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1629340641",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VASQUEZ",
    "FirstName": "ALBERTO",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "VASQUEZ",
    "OtherFirstName": "ALBERTO",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "DBA CENTRAL MEDICAL",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "147 E LEVEE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BROWNSVILLE",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78520-5403",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "956-504-9444",
    "MailingAddressFaxNumber": "956-504-9945",
    "FirstLinePracticeLocationAddress": "147 E LEVEE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BROWNSVILLE",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78520-5403",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "956-504-9444",
    "PracticeLocationAddressFaxNumber": "956-504-9945",
    "EnumerationDate": "02/07/2012",
    "LastUpdateDate": "08/24/2026",
    "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": "332BX2000X",
          "TaxonomyName": "Oxygen Equipment & Supplies (DME)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "2279G1100X",
          "TaxonomyName": "General Care Registered Respiratory Therapist",
          "LicenseNumber": "59916",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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