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1740509470 NPI number — NISHA L. RIVERA NEGRON LCDA

NPI Number: 1740509470
Health Care Provider/Practitioner: NISHA L. RIVERA NEGRON LCDA

Information about “1740509470” NPI (NISHA L. RIVERA NEGRON LCDA) exists in 1740509470 in HTML format HTML  |  1740509470 in plain Text format TXT  |  1740509470 in PDF (Portable Document Format) PDF  |  1740509470 in an XML format XML  formats.

NPI Number : 1740509470 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1740509470",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RIVERA NEGRON",
    "FirstName": "NISHA",
    "MiddleName": "L.",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCDA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "11182 MARGARITA STREET URB. HACIENDA CONCORDIA",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SANTA ISABEL",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00757",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-209-4146",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "20 CALLE RUFINA",
    "SecondLinePracticeLocationAddress": "SUITE 2 BAJOS",
    "PracticeLocationAddressCityName": "GUAYANILLA",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00656",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-209-4146",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/20/2010",
    "LastUpdateDate": "09/20/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "133N00000X",
        "TaxonomyName": "Nutritionist",
        "LicenseNumber": "1528",
        "LicenseNumberStateCode": "PR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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