NPI Code Detail JSON Logo

1710112990 NPI number — DIVINO NINO MEDICAL TRANSPORT LLC

NPI Number: 1710112990
Health Care Provider/Practitioner: DIVINO NINO MEDICAL TRANSPORT LLC

Information about “1710112990” NPI (DIVINO NINO MEDICAL TRANSPORT LLC) exists in 1710112990 in HTML format HTML  |  1710112990 in plain Text format TXT  |  1710112990 in PDF (Portable Document Format) PDF  |  1710112990 in an XML format XML  formats.

NPI Number : 1710112990 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710112990",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "DIVINO NINO MEDICAL TRANSPORT LLC",
    "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": "PO BOX 1900",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OROCOVIS",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00720-1900",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-845-2290",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "CARR 5507 KM 0.1",
    "SecondLinePracticeLocationAddress": "BO VELAZQUEZ",
    "PracticeLocationAddressCityName": "SANTA ISABEL",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00757",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-845-2290",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/18/2009",
    "LastUpdateDate": "02/04/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MORALES",
    "AuthorizedOfficialFirstName": "LUIS",
    "AuthorizedOfficialMiddleName": "F",
    "AuthorizedOfficialTitle": "PRESIDENTE",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "787-845-2290",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "3416L0300X",
        "TaxonomyName": "Land Ambulance",
        "LicenseNumber": "TC AMB 542",
        "LicenseNumberStateCode": "PR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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