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1942024641 NPI number — MONTURA HEALTH LLC

NPI Number: 1942024641
Health Care Provider/Practitioner: MONTURA HEALTH LLC

Information about “1942024641” NPI (MONTURA HEALTH LLC) exists in 1942024641 in HTML format HTML  |  1942024641 in plain Text format TXT  |  1942024641 in PDF (Portable Document Format) PDF  |  1942024641 in an XML format XML  formats.

NPI Number : 1942024641 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1942024641",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MONTURA HEALTH 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": "395 NW 121ST ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORTH MIAMI",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33168-3500",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "786-287-1048",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8360 COUNTY ROAD 833",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CLEWISTON",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33440-9215",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "786-629-9050",
    "PracticeLocationAddressFaxNumber": "786-629-9825",
    "EnumerationDate": "11/11/2024",
    "LastUpdateDate": "11/11/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "RIVERO",
    "AuthorizedOfficialFirstName": "YAMILE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "ADMINSTRATOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "786-287-1048",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261Q00000X",
        "TaxonomyName": "Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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