NPI Code Detail JSON Logo

1891238978 NPI number — MARIAM ALEIDA VIGUIE PSYD

NPI Number: 1891238978
Health Care Provider/Practitioner: MARIAM ALEIDA VIGUIE PSYD

Information about “1891238978” NPI (MARIAM ALEIDA VIGUIE PSYD) exists in 1891238978 in HTML format HTML  |  1891238978 in plain Text format TXT  |  1891238978 in PDF (Portable Document Format) PDF  |  1891238978 in an XML format XML  formats.

NPI Number : 1891238978 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1891238978",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VIGUIE",
    "FirstName": "MARIAM",
    "MiddleName": "ALEIDA",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PSYD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "525 CARR 8860",
    "SecondLineMailingAddress": "CHALETS SEVILLANOS APT 2455",
    "MailingAddressCityName": "TRUJILLO ALTO",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00976",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-903-4436",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1801 AVE PONCE DE LEON SUITE 411",
    "SecondLinePracticeLocationAddress": "SANTURCE MEDICAL MALL",
    "PracticeLocationAddressCityName": "SAN JUAN",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00907",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-903-4436",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/22/2016",
    "LastUpdateDate": "11/22/2016",
    "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": "103TC0700X",
        "TaxonomyName": "Clinical Psychologist",
        "LicenseNumber": "5742",
        "LicenseNumberStateCode": "PR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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