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1316772262 NPI number — MR. RAUL G. TIBURCIO

NPI Number: 1316772262
Health Care Provider/Practitioner: MR. RAUL G. TIBURCIO

Information about “1316772262” NPI (MR. RAUL G. TIBURCIO) exists in 1316772262 in HTML format HTML  |  1316772262 in plain Text format TXT  |  1316772262 in PDF (Portable Document Format) PDF  |  1316772262 in an XML format XML  formats.

NPI Number : 1316772262 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1316772262",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TIBURCIO",
    "FirstName": "RAUL",
    "MiddleName": "G.",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3816 N PEARWOOD AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FRESNO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93727-0812",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "559-493-9141",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6757 E CHRISTINE AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FRESNO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93727-1137",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "559-209-7522",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/02/2024",
    "LastUpdateDate": "09/02/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "376G00000X",
          "TaxonomyName": "Nursing Home Administrator",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "171M00000X",
          "TaxonomyName": "Case Manager/Care Coordinator",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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