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1790336204 NPI number — FEDRICH JOEL TORRES ONDINA

NPI Number: 1790336204
Health Care Provider/Practitioner: FEDRICH JOEL TORRES ONDINA

Information about “1790336204” NPI (FEDRICH JOEL TORRES ONDINA) exists in 1790336204 in HTML format HTML  |  1790336204 in plain Text format TXT  |  1790336204 in PDF (Portable Document Format) PDF  |  1790336204 in an XML format XML  formats.

NPI Number : 1790336204 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1790336204",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TORRES ONDINA",
    "FirstName": "FEDRICH",
    "MiddleName": "JOEL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "TORRES ONDINA",
    "OtherFirstName": "FEDRICH",
    "OtherMiddleName": "JOEL",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "DC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "421 NE 6TH ST APT 225",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FORT LAUDERDALE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33304-4872",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "305-796-0466",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "906 N FEDERAL HWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FORT LAUDERDALE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33304-2707",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "954-533-7739",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/25/2019",
    "LastUpdateDate": "09/25/2019",
    "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": "111N00000X",
        "TaxonomyName": "Chiropractor",
        "LicenseNumber": "CH12933",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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