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1982610697 NPI number — YANESA M PEREZ BERRIOS MD

NPI Number: 1982610697
Health Care Provider/Practitioner: YANESA M PEREZ BERRIOS MD

Information about “1982610697” NPI (YANESA M PEREZ BERRIOS MD) exists in 1982610697 in HTML format HTML  |  1982610697 in plain Text format TXT  |  1982610697 in PDF (Portable Document Format) PDF  |  1982610697 in an XML format XML  formats.

NPI Number : 1982610697 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982610697",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PEREZ BERRIOS",
    "FirstName": "YANESA",
    "MiddleName": "M",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PEREZ BERRIOS",
    "OtherFirstName": "YANESA",
    "OtherMiddleName": "M",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "PO BOX 7886",
    "SecondLineMailingAddress": "PMB 367",
    "MailingAddressCityName": "GUAYNABO",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00970-7886",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-765-1039",
    "MailingAddressFaxNumber": "787-765-6197",
    "FirstLinePracticeLocationAddress": "200 AVE WINSTON CHURCHILL",
    "SecondLinePracticeLocationAddress": "W CHURCHILL 2000 BLDG OF 201",
    "PracticeLocationAddressCityName": "RIO PIEDRAS",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00926-6651",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-765-1039",
    "PracticeLocationAddressFaxNumber": "787-765-6197",
    "EnumerationDate": "08/01/2006",
    "LastUpdateDate": "11/12/2010",
    "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": "207W00000X",
        "TaxonomyName": "Ophthalmology Physician",
        "LicenseNumber": "11506",
        "LicenseNumberStateCode": "PR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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