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1841454998 NPI number — UNIVERSAL & PROFESIONAL MEDICAL GROUP

NPI Number: 1841454998
Health Care Provider/Practitioner: UNIVERSAL & PROFESIONAL MEDICAL GROUP

Information about “1841454998” NPI (UNIVERSAL & PROFESIONAL MEDICAL GROUP) exists in 1841454998 in HTML format HTML  |  1841454998 in plain Text format TXT  |  1841454998 in PDF (Portable Document Format) PDF  |  1841454998 in an XML format XML  formats.

NPI Number : 1841454998 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1841454998",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "UNIVERSAL & PROFESIONAL MEDICAL GROUP",
    "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": "24-63 AVENUE: ROBERTO CLEMENTE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CAROLINA",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00983",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-403-0237",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "CAROLINA SHOPP CTR",
    "SecondLinePracticeLocationAddress": "24-63 AVENUE:ROBERTO CLEMENTE",
    "PracticeLocationAddressCityName": "CAROLINA",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00985-5672",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-403-0237",
    "PracticeLocationAddressFaxNumber": "787-946-3517",
    "EnumerationDate": "07/17/2008",
    "LastUpdateDate": "07/17/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SOMOZA",
    "AuthorizedOfficialFirstName": "NATACHA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "TERAPEUTA DEL MASAJE",
    "AuthorizedOfficialTelephoneNumber": "787-403-0237",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "246W00000X",
        "TaxonomyName": "Cardiology Technician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "PR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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