NPI Code Detail JSON Logo

1922037522 NPI number — ANGEL M. RIVERA-CASTRO D.M.D.

NPI Number: 1922037522
Health Care Provider/Practitioner: ANGEL M. RIVERA-CASTRO D.M.D.

Information about “1922037522” NPI (ANGEL M. RIVERA-CASTRO D.M.D.) exists in 1922037522 in HTML format HTML  |  1922037522 in plain Text format TXT  |  1922037522 in PDF (Portable Document Format) PDF  |  1922037522 in an XML format XML  formats.

NPI Number : 1922037522 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1922037522",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RIVERA-CASTRO",
    "FirstName": "ANGEL",
    "MiddleName": "M.",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "11954 NARCOOSSEE RD STE 102-129",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ORLANDO",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32832-6998",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "407-360-2465",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8185 LEE VISTA BLVD STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ORLANDO",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32829-8304",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "407-881-1751",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/03/2006",
    "LastUpdateDate": "12/15/2020",
    "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": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "18238",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223G0001X",
          "TaxonomyName": "General Practice Dentistry",
          "LicenseNumber": "2534",
          "LicenseNumberStateCode": "PR",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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