Canonical ID: us-mednj-22506d8542ab86095f4aad6e28cbedc201363f86
· Entity type: LegalEntity
(reference)
Property | Value | Lang | Source dataset | Source ID | First seen | ||
---|---|---|---|---|---|---|---|
LegalEntity:address | 127 TWEED DRIVE, JACKSONVILLE, NC 28540 | eng | us_nj_med_exclusions | us-mednj-22506d8542ab86095f4aad6e28cbedc201363f86 | |||
LegalEntity:addressEntity | addr-7186bee0d2914000908e422f85562d0fe584acdf | eng | us_nj_med_exclusions | us-mednj-22506d8542ab86095f4aad6e28cbedc201363f86 | |||
LegalEntity:country | us | eng | us_nj_med_exclusions | us-mednj-22506d8542ab86095f4aad6e28cbedc201363f86 | |||
LegalEntity:id | f74985db996a3b2419d33f894fc2761fdfdd8c6e | eng | us_nj_med_exclusions | us-mednj-22506d8542ab86095f4aad6e28cbedc201363f86 | |||
LegalEntity:name | RIOS, GUSTAVO ERNESTO | eng | us_nj_med_exclusions | us-mednj-22506d8542ab86095f4aad6e28cbedc201363f86 | |||
LegalEntity:npiCode | 1780648295 | eng | us_nj_med_exclusions | us-mednj-22506d8542ab86095f4aad6e28cbedc201363f86 | |||
LegalEntity:sector | MD | eng | us_nj_med_exclusions | us-mednj-22506d8542ab86095f4aad6e28cbedc201363f86 | |||
LegalEntity:topics | debarment | eng | us_nj_med_exclusions | us-mednj-22506d8542ab86095f4aad6e28cbedc201363f86 |