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1750344693 NPI number — WILMA A . OLIVIERI VELEZ

NPI Number: 1750344693
Health Care Provider/Practitioner: WILMA A . OLIVIERI VELEZ

Information about “1750344693” NPI (WILMA A . OLIVIERI VELEZ) exists in 1750344693 in HTML format HTML  |  1750344693 in plain Text format TXT  |  1750344693 in PDF (Portable Document Format) PDF  |  1750344693 in an XML format XML  formats.

NPI Number : 1750344693 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1750344693",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "WILMA A . OLIVIERI VELEZ",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "85 AVE UNIV INTERAMERICANA",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN GERMAN",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00683-4343",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-892-4651",
    "MailingAddressFaxNumber": "787-892-4651",
    "FirstLinePracticeLocationAddress": "85 AVE UNIV INTERAMERICANA",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN GERMAN",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00683-4343",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-892-4651",
    "PracticeLocationAddressFaxNumber": "787-892-4651",
    "EnumerationDate": "04/11/2006",
    "LastUpdateDate": "12/05/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "OLIVIERI VELEZ",
    "AuthorizedOfficialFirstName": "WILMA",
    "AuthorizedOfficialMiddleName": "A",
    "AuthorizedOfficialTitle": "DIRECTOR",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.T.",
    "AuthorizedOfficialTelephoneNumber": "787-892-4651",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "291U00000X",
        "TaxonomyName": "Clinical Medical Laboratory",
        "LicenseNumber": "676",
        "LicenseNumberStateCode": "PR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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