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1801941281 NPI number — RUTH BAUTISTA DIAZ M.D.

NPI Number: 1801941281
Health Care Provider/Practitioner: RUTH BAUTISTA DIAZ M.D.

Information about “1801941281” NPI (RUTH BAUTISTA DIAZ M.D.) exists in 1801941281 in HTML format HTML  |  1801941281 in plain Text format TXT  |  1801941281 in PDF (Portable Document Format) PDF  |  1801941281 in an XML format XML  formats.

NPI Number : 1801941281 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801941281",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DIAZ",
    "FirstName": "RUTH",
    "MiddleName": "BAUTISTA",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DIAZ",
    "OtherFirstName": "RUTH",
    "OtherMiddleName": "B.",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "45 E LEWIS AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MILAN",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48160-1119",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "734-439-2303",
    "MailingAddressFaxNumber": "734-439-0016",
    "FirstLinePracticeLocationAddress": "4870 W CLARK RD",
    "SecondLinePracticeLocationAddress": "SUITE 107",
    "PracticeLocationAddressCityName": "YPSILANTI",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48197-1104",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "734-434-7260",
    "PracticeLocationAddressFaxNumber": "734-434-7607",
    "EnumerationDate": "01/24/2007",
    "LastUpdateDate": "09/09/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "08/19/2021",
    "NPIReactivationDate": "09/01/2021",
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2084P0800X",
        "TaxonomyName": "Psychiatry Physician",
        "LicenseNumber": "4301035476",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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