NPI Code Detail JSON Logo

1710873633 NPI number — LEANDRO B CUPE N/A

NPI Number: 1710873633
Health Care Provider/Practitioner: LEANDRO B CUPE N/A

Information about “1710873633” NPI (LEANDRO B CUPE N/A) exists in 1710873633 in HTML format HTML  |  1710873633 in plain Text format TXT  |  1710873633 in PDF (Portable Document Format) PDF  |  1710873633 in an XML format XML  formats.

NPI Number : 1710873633 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710873633",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CUPE",
    "FirstName": "LEANDRO",
    "MiddleName": "B",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "N/A",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "N/A",
    "OtherFirstName": "N/A",
    "OtherMiddleName": "N/A",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "N/A",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "701 LARCHMONT AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CAPITOL HEIGHTS",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "20743-2842",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "240-591-2276",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1300 H ST NE APT 210",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WASHINGTON",
    "PracticeLocationAddressStateName": "DC",
    "PracticeLocationAddressPostalCode": "20002-5687",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "240-591-2276",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/16/2025",
    "LastUpdateDate": "06/16/2025",
    "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": "171W00000X",
        "TaxonomyName": "Contractor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "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."
      }
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.