NPI Code Detail JSON Logo

1518426956 NPI number — JOSE ENRIQUE MALDONADO VIDAL CRNA

NPI Number: 1518426956
Health Care Provider/Practitioner: JOSE ENRIQUE MALDONADO VIDAL CRNA

Information about “1518426956” NPI (JOSE ENRIQUE MALDONADO VIDAL CRNA) exists in 1518426956 in HTML format HTML  |  1518426956 in plain Text format TXT  |  1518426956 in PDF (Portable Document Format) PDF  |  1518426956 in an XML format XML  formats.

NPI Number : 1518426956 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1518426956",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MALDONADO VIDAL",
    "FirstName": "JOSE",
    "MiddleName": "ENRIQUE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CRNA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "15840 SEDGEWYCK CIR S",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DAVIE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33331-3444",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "786-731-8200",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3100 SW 62ND AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MIAMI",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33155-3009",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "800-432-6837",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/15/2019",
    "LastUpdateDate": "05/06/2025",
    "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": "367500000X",
        "TaxonomyName": "Certified Registered Nurse Anesthetist",
        "LicenseNumber": "11001917",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.