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1851537633 NPI number — ILEANA APONTE-CAMACHO MD

NPI Number: 1851537633
Health Care Provider/Practitioner: ILEANA APONTE-CAMACHO MD

Information about “1851537633” NPI (ILEANA APONTE-CAMACHO MD) exists in 1851537633 in HTML format HTML  |  1851537633 in plain Text format TXT  |  1851537633 in PDF (Portable Document Format) PDF  |  1851537633 in an XML format XML  formats.

NPI Number : 1851537633 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1851537633",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "APONTE-CAMACHO",
    "FirstName": "ILEANA",
    "MiddleName": null,
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "APONTE-CAMACHO",
    "OtherFirstName": "ILEANA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.D.",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "11310 S ORANGE BLOSSOM TRL STE 109",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ORLANDO",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32837-9421",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "407-413-3200",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4365 HUNTERS PARK LN # 10",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ORLANDO",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32837-7614",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "407-413-3200",
    "PracticeLocationAddressFaxNumber": "407-286-4419",
    "EnumerationDate": "12/27/2008",
    "LastUpdateDate": "09/17/2021",
    "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": "208D00000X",
          "TaxonomyName": "General Practice Physician",
          "LicenseNumber": "17450",
          "LicenseNumberStateCode": "PR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208D00000X",
          "TaxonomyName": "General Practice Physician",
          "LicenseNumber": "ACN573",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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