NPI Code Detail JSON Logo

1730336108 NPI number — ANGEL L GONZALEZ PEREZ

NPI Number: 1730336108
Health Care Provider/Practitioner: ANGEL L GONZALEZ PEREZ

Information about “1730336108” NPI (ANGEL L GONZALEZ PEREZ) exists in 1730336108 in HTML format HTML  |  1730336108 in plain Text format TXT  |  1730336108 in PDF (Portable Document Format) PDF  |  1730336108 in an XML format XML  formats.

NPI Number : 1730336108 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1730336108",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GONZALEZ PEREZ",
    "FirstName": "ANGEL",
    "MiddleName": "L",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GONZALEZ",
    "OtherFirstName": "ANGEL",
    "OtherMiddleName": "L",
    "OtherNamePrefix": "MR.",
    "OtherNameSuffix": null,
    "OtherCredential": "EMS",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 1438",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MOCA",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00676-1438",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-530-8953",
    "MailingAddressFaxNumber": "787-818-1122",
    "FirstLinePracticeLocationAddress": "CARR 110 KM. 12.8",
    "SecondLinePracticeLocationAddress": "BO PUEBLO",
    "PracticeLocationAddressCityName": "MOCA",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00676",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-530-8953",
    "PracticeLocationAddressFaxNumber": "787-818-1122",
    "EnumerationDate": "08/27/2008",
    "LastUpdateDate": "10/27/2008",
    "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": "3416L0300X",
        "TaxonomyName": "Land Ambulance",
        "LicenseNumber": "TC-AMB-101",
        "LicenseNumberStateCode": "PR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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