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1710576988 NPI number — ESTRELLA HEALTH MEDICAL CENTER INC

NPI Number: 1710576988
Health Care Provider/Practitioner: ESTRELLA HEALTH MEDICAL CENTER INC

Information about “1710576988” NPI (ESTRELLA HEALTH MEDICAL CENTER INC) exists in 1710576988 in HTML format HTML  |  1710576988 in plain Text format TXT  |  1710576988 in PDF (Portable Document Format) PDF  |  1710576988 in an XML format XML  formats.

NPI Number : 1710576988 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710576988",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ESTRELLA HEALTH MEDICAL CENTER INC",
    "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": "10250 SW 56TH ST STE D201",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MIAMI",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33165-7098",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "305-778-1485",
    "MailingAddressFaxNumber": "786-362-5735",
    "FirstLinePracticeLocationAddress": "10250 SW 56TH ST STE D201",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MIAMI",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33165-7098",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "305-778-1485",
    "PracticeLocationAddressFaxNumber": "786-362-5735",
    "EnumerationDate": "01/13/2021",
    "LastUpdateDate": "09/14/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "VIAMONTE",
    "AuthorizedOfficialFirstName": "MARINE",
    "AuthorizedOfficialMiddleName": "V",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "786-246-6295",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251S00000X",
          "TaxonomyName": "Community/Behavioral Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2084P0800X",
          "TaxonomyName": "Psychiatry Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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