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1689909343 NPI number — RAMIRO ANTONIO PEREZ DE LA TORRE MD

NPI Number: 1689909343
Health Care Provider/Practitioner: RAMIRO ANTONIO PEREZ DE LA TORRE MD

Information about “1689909343” NPI (RAMIRO ANTONIO PEREZ DE LA TORRE MD) exists in 1689909343 in HTML format HTML  |  1689909343 in plain Text format TXT  |  1689909343 in PDF (Portable Document Format) PDF  |  1689909343 in an XML format XML  formats.

NPI Number : 1689909343 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689909343",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DE LA TORRE",
    "FirstName": "RAMIRO",
    "MiddleName": "ANTONIO PEREZ",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3906 HILLSIDE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROYAL OAK",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48073-6360",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "248-227-7807",
    "MailingAddressFaxNumber": "248-869-3982",
    "FirstLinePracticeLocationAddress": "6245 INKSTER RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GARDEN CITY",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48135-4001",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "248-227-7807",
    "PracticeLocationAddressFaxNumber": "248-869-3982",
    "EnumerationDate": "10/13/2009",
    "LastUpdateDate": "11/14/2024",
    "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": "207T00000X",
        "TaxonomyName": "Neurological Surgery Physician",
        "LicenseNumber": "4301073480",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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