NPI |
1003552951 |
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number. |
Entity Type Code |
1 |
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number. |
Provider Last Name Legal Name |
TORRES |
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number. |
Provider First Name |
PAULINA |
The first name of the provider, if the provider
is an individual. |
Provider First Line Business Practice Location Address |
3520 OAKS WAY APT 904 |
Other name by which the organization provider is or has been known. |
Provider Business Practice Location Address City Name |
POMPANO BEACH |
The city name in the location address of the provider being identified. |
Provider Business Practice Location Address State Name |
FL |
The city name in the location address of the provider being identified. |
Provider Business Practice Location Address Postal Code |
330695387 |
The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address Country Code If outside U S |
US |
The country code in the location address of the provider being identified. |
Provider Business Practice Location Address Telephone Number |
3058071909 |
The telephone number associated with the location address of the provider being identified. |
Provider Enumeration Date |
5/12/2022 |
The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date |
5/12/2022 |
The date that a record was last updated or changed. |
Provider Gender Code |
F |
Code designating the provider type, classification,
and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1. |
Healthcare Provider Taxonomy Code 1 |
103K00000X |
|
Healthcare Provider Primary Taxonomy Switch 1 |
Y |
|
Is Sole Proprietor |
N |
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No |
NPI Certification Date |
5/12/2022 |
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form. |