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1922411347 NPI number — 1ST CLASS MEDICAL CENTERS OF 4 AVE INC

NPI Number: 1922411347
Health Care Provider/Practitioner: 1ST CLASS MEDICAL CENTERS OF 4 AVE INC

Information about “1922411347” NPI (1ST CLASS MEDICAL CENTERS OF 4 AVE INC) exists in 1922411347 in HTML format HTML  |  1922411347 in plain Text format TXT  |  1922411347 in PDF (Portable Document Format) PDF  |  1922411347 in an XML format XML  formats.

NPI Number : 1922411347 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1922411347",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "1ST CLASS MEDICAL CENTERS OF 4 AVE INC",
    "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": "1015-1025 E 4 AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HIALEAH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33010-4103",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "786-542-9051",
    "MailingAddressFaxNumber": "786-542-9052",
    "FirstLinePracticeLocationAddress": "1015-1025 E 4 AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HIALEAH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33010-4103",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "786-542-9051",
    "PracticeLocationAddressFaxNumber": "786-542-9052",
    "EnumerationDate": "06/03/2014",
    "LastUpdateDate": "12/24/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DOMINGUEZ",
    "AuthorizedOfficialFirstName": "RUDY",
    "AuthorizedOfficialMiddleName": "N",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "786-542-9051",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QH0100X",
        "TaxonomyName": "Health Service Clinic/Center",
        "LicenseNumber": "HCC10171",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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