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1689794729 NPI number — PEDRO R. MARTINEZ M.C.,M.H.C.,C.P.L.

NPI Number: 1689794729
Health Care Provider/Practitioner: PEDRO R. MARTINEZ M.C.,M.H.C.,C.P.L.

Information about “1689794729” NPI (PEDRO R. MARTINEZ M.C.,M.H.C.,C.P.L.) exists in 1689794729 in HTML format HTML  |  1689794729 in plain Text format TXT  |  1689794729 in PDF (Portable Document Format) PDF  |  1689794729 in an XML format XML  formats.

NPI Number : 1689794729 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689794729",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MARTINEZ",
    "FirstName": "PEDRO",
    "MiddleName": "R.",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "M.C.,M.H.C.,C.P.L.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MARTINEZ",
    "OtherFirstName": "PEDRO",
    "OtherMiddleName": "R.",
    "OtherNamePrefix": "MR.",
    "OtherNameSuffix": null,
    "OtherCredential": "M.C.,M.H.C.,C.P.L.",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "F22 CALLE ARAGON",
    "SecondLineMailingAddress": "VILLA CONTESA",
    "MailingAddressCityName": "BAYAMON",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00956-2778",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-662-6837",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "F22 CALLE ARAGON",
    "SecondLinePracticeLocationAddress": "VILLA CONTESA",
    "PracticeLocationAddressCityName": "BAYAMON",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00956-2778",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-662-6837",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/30/2007",
    "LastUpdateDate": "07/08/2007",
    "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": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "1451",
        "LicenseNumberStateCode": "PR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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