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1801007794 NPI number — CARDIOVASCULAR MEDICAL DIAGNOSTIC SERVICES

NPI Number: 1801007794
Health Care Provider/Practitioner: CARDIOVASCULAR MEDICAL DIAGNOSTIC SERVICES

Information about “1801007794” NPI (CARDIOVASCULAR MEDICAL DIAGNOSTIC SERVICES) exists in 1801007794 in HTML format HTML  |  1801007794 in plain Text format TXT  |  1801007794 in PDF (Portable Document Format) PDF  |  1801007794 in an XML format XML  formats.

NPI Number : 1801007794 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801007794",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CARDIOVASCULAR MEDICAL DIAGNOSTIC SERVICES",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "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. BERWIND ESTATES",
    "SecondLineMailingAddress": "CALLE 17 T-9",
    "MailingAddressCityName": "SAN JUAN",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00924",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-752-4818",
    "MailingAddressFaxNumber": "787-752-4818",
    "FirstLinePracticeLocationAddress": "URB. BERWIND ESTATES",
    "SecondLinePracticeLocationAddress": "CALLE 17 T-9",
    "PracticeLocationAddressCityName": "SAN JUAN",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00924",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-752-4818",
    "PracticeLocationAddressFaxNumber": "787-752-4818",
    "EnumerationDate": "05/24/2007",
    "LastUpdateDate": "08/22/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PAGAN",
    "AuthorizedOfficialFirstName": "CARMEN",
    "AuthorizedOfficialMiddleName": "JUDITH",
    "AuthorizedOfficialTitle": "PRESIDENTA",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "787-960-1275",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "293D00000X",
        "TaxonomyName": "Physiological Laboratory",
        "LicenseNumber": "3878",
        "LicenseNumberStateCode": "PR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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