NPI Code Detail JSON Logo

1629891007 NPI number — YUSEINIS GUTIERREZ SAEZ OPTOMETRIST

NPI Number: 1629891007
Health Care Provider/Practitioner: YUSEINIS GUTIERREZ SAEZ OPTOMETRIST

Information about “1629891007” NPI (YUSEINIS GUTIERREZ SAEZ OPTOMETRIST) exists in 1629891007 in HTML format HTML  |  1629891007 in plain Text format TXT  |  1629891007 in PDF (Portable Document Format) PDF  |  1629891007 in an XML format XML  formats.

NPI Number : 1629891007 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1629891007",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GUTIERREZ SAEZ",
    "FirstName": "YUSEINIS",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "OPTOMETRIST",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "14834 W DOVESTAR DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SURPRISE",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85374-3463",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "480-942-2767",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "18511 HIGHLAND MEDICS STREET",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EL PASO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "79918",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "915-742-2949",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/05/2024",
    "LastUpdateDate": "11/05/2024",
    "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": "152W00000X",
          "TaxonomyName": "Optometrist",
          "LicenseNumber": "0618003457",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "152W00000X",
          "TaxonomyName": "Optometrist",
          "LicenseNumber": "11257",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.