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1639980584 NPI number — MADELYS DE LA CARIDAD MARRERO QUINTANA

NPI Number: 1639980584
Health Care Provider/Practitioner: MADELYS DE LA CARIDAD MARRERO QUINTANA

Information about “1639980584” NPI (MADELYS DE LA CARIDAD MARRERO QUINTANA) exists in 1639980584 in HTML format HTML  |  1639980584 in plain Text format TXT  |  1639980584 in PDF (Portable Document Format) PDF  |  1639980584 in an XML format XML  formats.

NPI Number : 1639980584 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1639980584",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MARRERO QUINTANA",
    "FirstName": "MADELYS",
    "MiddleName": "DE LA CARIDAD",
    "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": "307 SE VAN LOON TER",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CAPE CORAL",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33990-4034",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "239-888-9392",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "303 NE 3RD AVE STE 6",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CAPE CORAL",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33909-2538",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "239-789-0041",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/17/2025",
    "LastUpdateDate": "01/17/2025",
    "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": "106S00000X",
        "TaxonomyName": "Behavior Technician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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