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1811705676 NPI number — HOSPITAL REAL SAN LUCAS OF MEXICO

NPI Number: 1811705676
Health Care Provider/Practitioner: HOSPITAL REAL SAN LUCAS OF MEXICO

Information about “1811705676” NPI (HOSPITAL REAL SAN LUCAS OF MEXICO) exists in 1811705676 in HTML format HTML  |  1811705676 in plain Text format TXT  |  1811705676 in PDF (Portable Document Format) PDF  |  1811705676 in an XML format XML  formats.

NPI Number : 1811705676 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1811705676",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HOSPITAL REAL SAN LUCAS OF MEXICO",
    "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": "PO BOX 220",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MORGANVILLE",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07751-0220",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "732-640-2227",
    "MailingAddressFaxNumber": "732-640-2230",
    "FirstLinePracticeLocationAddress": "AV LUIS DONALDOCOLOCIO 863",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LA GLORIA TEPATITLAN DE MORALES",
    "PracticeLocationAddressStateName": "JALISCO",
    "PracticeLocationAddressPostalCode": "47670",
    "PracticeLocationAddressCountryCode": "MX",
    "PracticeLocationAddressTelephoneNumber": "378-688-1829",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/26/2024",
    "LastUpdateDate": "12/26/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GELBERG",
    "AuthorizedOfficialFirstName": "PATRICIA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "ADMINISTRATIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "732-640-2227",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "282N00000X",
        "TaxonomyName": "General Acute Care Hospital",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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