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1740964048 NPI number — ALEXANDRA ISABEL AVILES

NPI Number: 1740964048
Health Care Provider/Practitioner: ALEXANDRA ISABEL AVILES

Information about “1740964048” NPI (ALEXANDRA ISABEL AVILES) exists in 1740964048 in HTML format HTML  |  1740964048 in plain Text format TXT  |  1740964048 in PDF (Portable Document Format) PDF  |  1740964048 in an XML format XML  formats.

NPI Number : 1740964048 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1740964048",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "AVILES",
    "FirstName": "ALEXANDRA",
    "MiddleName": "ISABEL",
    "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": "URB. LAS RAMBLAS DALI #3",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GUAYNABO",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00969",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-450-7544",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "MONTE ATENAS OFFICE PARK, AVE. LAS CUMBRES SUITE 207",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN JUAN",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00926",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-662-2202",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/15/2023",
    "LastUpdateDate": "06/15/2023",
    "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": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": "4472",
        "LicenseNumberStateCode": "PR",
        "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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