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1669776159 NPI number — IGNACIO LOPEZ-MERINO, M.D., PA

NPI Number: 1669776159
Health Care Provider/Practitioner: IGNACIO LOPEZ-MERINO, M.D., PA

Information about “1669776159” NPI (IGNACIO LOPEZ-MERINO, M.D., PA) exists in 1669776159 in HTML format HTML  |  1669776159 in plain Text format TXT  |  1669776159 in PDF (Portable Document Format) PDF  |  1669776159 in an XML format XML  formats.

NPI Number : 1669776159 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1669776159",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "IGNACIO LOPEZ-MERINO, M.D., PA",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "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": "7050 NW 4TH ST",
    "SecondLineMailingAddress": "SUITE#304",
    "MailingAddressCityName": "PLANTATION",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33317-2247",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "954-791-4774",
    "MailingAddressFaxNumber": "954-791-2405",
    "FirstLinePracticeLocationAddress": "7050 NW 4TH ST",
    "SecondLinePracticeLocationAddress": "SUITE#304",
    "PracticeLocationAddressCityName": "PLANTATION",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33317-2247",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "954-791-4774",
    "PracticeLocationAddressFaxNumber": "954-791-2405",
    "EnumerationDate": "12/27/2010",
    "LastUpdateDate": "12/27/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LOPEZ-MERINO, M.D.",
    "AuthorizedOfficialFirstName": "IGNACIO",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MEDICAL DOCTOR",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.D.",
    "AuthorizedOfficialTelephoneNumber": "954-791-4774",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2084P0800X",
        "TaxonomyName": "Psychiatry Physician",
        "LicenseNumber": "ME0049078",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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