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1790834083 NPI number — YADIRA CARDONA-ROHENA D.M.D.

NPI Number: 1790834083
Health Care Provider/Practitioner: YADIRA CARDONA-ROHENA D.M.D.

Information about “1790834083” NPI (YADIRA CARDONA-ROHENA D.M.D.) exists in 1790834083 in HTML format HTML  |  1790834083 in plain Text format TXT  |  1790834083 in PDF (Portable Document Format) PDF  |  1790834083 in an XML format XML  formats.

NPI Number : 1790834083 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1790834083",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CARDONA-ROHENA",
    "FirstName": "YADIRA",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LONTZ",
    "OtherFirstName": "YADIRA",
    "OtherMiddleName": null,
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "D.M.D.",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "4285 JIM MOORE RD",
    "SecondLineMailingAddress": "BLDG 100, SUITE 104",
    "MailingAddressCityName": "DACULA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30019-1609",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "678-835-1135",
    "MailingAddressFaxNumber": "678-835-1136",
    "FirstLinePracticeLocationAddress": "4285 JIM MOORE RD",
    "SecondLinePracticeLocationAddress": "BLDG 100, SUITE 104",
    "PracticeLocationAddressCityName": "DACULA",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30019-1609",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "678-835-1135",
    "PracticeLocationAddressFaxNumber": "678-835-1136",
    "EnumerationDate": "01/09/2007",
    "LastUpdateDate": "06/27/2020",
    "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": "1223S0112X",
          "TaxonomyName": "Oral and Maxillofacial Surgery (Dentist)",
          "LicenseNumber": "2630",
          "LicenseNumberStateCode": "PR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223S0112X",
          "TaxonomyName": "Oral and Maxillofacial Surgery (Dentist)",
          "LicenseNumber": "051734-1",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223S0112X",
          "TaxonomyName": "Oral and Maxillofacial Surgery (Dentist)",
          "LicenseNumber": "DN013477",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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