NPI Code Detail JSON Logo

1437590635 NPI number — RAUL ORTIZ JR. NP

NPI Number: 1437590635
Health Care Provider/Practitioner: RAUL ORTIZ JR. NP

Information about “1437590635” NPI (RAUL ORTIZ JR. NP) exists in 1437590635 in HTML format HTML  |  1437590635 in plain Text format TXT  |  1437590635 in PDF (Portable Document Format) PDF  |  1437590635 in an XML format XML  formats.

NPI Number : 1437590635 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1437590635",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ORTIZ",
    "FirstName": "RAUL",
    "MiddleName": null,
    "NamePrefix": "MR.",
    "NameSuffix": "JR.",
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6805 OLD MESA DR NW",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ALBUQUERQUE",
    "MailingAddressStateName": "NM",
    "MailingAddressPostalCode": "87120-3876",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "505-506-1928",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "100 ISLETA BLVD SW",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ALBUQUERQUE",
    "PracticeLocationAddressStateName": "NM",
    "PracticeLocationAddressPostalCode": "87105-3818",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "505-200-2647",
    "PracticeLocationAddressFaxNumber": "505-200-2695",
    "EnumerationDate": "07/16/2013",
    "LastUpdateDate": "07/16/2013",
    "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": "CNP-02211",
        "LicenseNumberStateCode": "NM",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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