NPI Code Detail JSON Logo

1881889558 NPI number — JOSE MARIA GARCIA GONZALEZ M.D.

NPI Number: 1881889558
Health Care Provider/Practitioner: JOSE MARIA GARCIA GONZALEZ M.D.

Information about “1881889558” NPI (JOSE MARIA GARCIA GONZALEZ M.D.) exists in 1881889558 in HTML format HTML  |  1881889558 in plain Text format TXT  |  1881889558 in PDF (Portable Document Format) PDF  |  1881889558 in an XML format XML  formats.

NPI Number : 1881889558 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881889558",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GARCIA GONZALEZ",
    "FirstName": "JOSE",
    "MiddleName": "MARIA",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GARCIA",
    "OtherFirstName": "JOSE",
    "OtherMiddleName": "MARIA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "2454 E DEMPSTER ST",
    "SecondLineMailingAddress": "SUITE 400",
    "MailingAddressCityName": "DES PLAINES",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60016-5315",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "847-299-0700",
    "MailingAddressFaxNumber": "847-390-0616",
    "FirstLinePracticeLocationAddress": "1114 AVE JESUS T PINERO",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN JUAN",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00921-1722",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-781-3020",
    "PracticeLocationAddressFaxNumber": "787-781-3020",
    "EnumerationDate": "09/06/2007",
    "LastUpdateDate": "05/08/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207WX0107X",
          "TaxonomyName": "Retina Specialist (Ophthalmology) Physician",
          "LicenseNumber": "036127765",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "207W00000X",
          "TaxonomyName": "Ophthalmology Physician",
          "LicenseNumber": "23987",
          "LicenseNumberStateCode": "PR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207W00000X",
          "TaxonomyName": "Ophthalmology Physician",
          "LicenseNumber": "036.127765",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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