NPI Code Detail JSON Logo

1922706605 NPI number — FOREVER YOUNG LLC

NPI Number: 1922706605
Health Care Provider/Practitioner: FOREVER YOUNG LLC

Information about “1922706605” NPI (FOREVER YOUNG LLC) exists in 1922706605 in HTML format HTML  |  1922706605 in plain Text format TXT  |  1922706605 in PDF (Portable Document Format) PDF  |  1922706605 in an XML format XML  formats.

NPI Number : 1922706605 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1922706605",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "FOREVER YOUNG LLC",
    "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": "PO BOX 2093",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ANASCO",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00610-2093",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "BO. QUEBRADA LARGA CARR # 2 KM 142.2",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ANASCO",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00610",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-826-3636",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/21/2023",
    "LastUpdateDate": "02/21/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DUPONT",
    "AuthorizedOfficialFirstName": "MARIBEL",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENTE",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "787-509-8850",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QH0100X",
        "TaxonomyName": "Health Service Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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