NPI Code Detail JSON Logo

1376210336 NPI number — RONALD LEO VAZQUEZ MONTOYA FNP-C

NPI Number: 1376210336
Health Care Provider/Practitioner: RONALD LEO VAZQUEZ MONTOYA FNP-C

Information about “1376210336” NPI (RONALD LEO VAZQUEZ MONTOYA FNP-C) exists in 1376210336 in HTML format HTML  |  1376210336 in plain Text format TXT  |  1376210336 in PDF (Portable Document Format) PDF  |  1376210336 in an XML format XML  formats.

NPI Number : 1376210336 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376210336",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MONTOYA",
    "FirstName": "RONALD LEO",
    "MiddleName": "VAZQUEZ",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "FNP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MONTOYA",
    "OtherFirstName": "RONALD",
    "OtherMiddleName": "VAZQUEZ",
    "OtherNamePrefix": "MR.",
    "OtherNameSuffix": null,
    "OtherCredential": "FNP-C",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "1800 W. CHARLESTON BLVD.",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAS VEGAS",
    "MailingAddressStateName": "NV",
    "MailingAddressPostalCode": "89102",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "818-983-5393",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1800 W. CHARLESTON BLVD.",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAS VEGAS",
    "PracticeLocationAddressStateName": "NV",
    "PracticeLocationAddressPostalCode": "89102",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "818-983-5393",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/26/2021",
    "LastUpdateDate": "04/11/2022",
    "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": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "844873",
        "LicenseNumberStateCode": "NV",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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