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1972649564 NPI number — ANA LUZ MARTINEZ M.D.

NPI Number: 1972649564
Health Care Provider/Practitioner: ANA LUZ MARTINEZ M.D.

Information about “1972649564” NPI (ANA LUZ MARTINEZ M.D.) exists in 1972649564 in HTML format HTML  |  1972649564 in plain Text format TXT  |  1972649564 in PDF (Portable Document Format) PDF  |  1972649564 in an XML format XML  formats.

NPI Number : 1972649564 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972649564",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MARTINEZ",
    "FirstName": "ANA",
    "MiddleName": "LUZ",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MARTINEZ",
    "OtherFirstName": "ANNIE",
    "OtherMiddleName": null,
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "M.D.",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "PO BOX 3308",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AGUADILLA",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00605-3308",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-882-2440",
    "MailingAddressFaxNumber": "787-882-2440",
    "FirstLinePracticeLocationAddress": "#172 107 AVE.",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AGUADILLA",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00604",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-882-2440",
    "PracticeLocationAddressFaxNumber": "787-882-2440",
    "EnumerationDate": "01/30/2007",
    "LastUpdateDate": "07/08/2007",
    "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": "2080A0000X",
        "TaxonomyName": "Pediatric Adolescent Medicine Physician",
        "LicenseNumber": "6379",
        "LicenseNumberStateCode": "PR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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