NPI Code Detail JSON Logo

1548937832 NPI number — JOAQUIN EMILIO CRUZ IDC

NPI Number: 1548937832
Health Care Provider/Practitioner: JOAQUIN EMILIO CRUZ IDC

Information about “1548937832” NPI (JOAQUIN EMILIO CRUZ IDC) exists in 1548937832 in HTML format HTML  |  1548937832 in plain Text format TXT  |  1548937832 in PDF (Portable Document Format) PDF  |  1548937832 in an XML format XML  formats.

NPI Number : 1548937832 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548937832",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CRUZ",
    "FirstName": "JOAQUIN",
    "MiddleName": "EMILIO",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "IDC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "26054 MANZANITA ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MURRIETA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92563-6317",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "813-760-4431",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "USS GEORGE WASHINGTON (CVN 73)",
    "SecondLinePracticeLocationAddress": "CVN 73, UNIT 100148, 1",
    "PracticeLocationAddressCityName": "FPO",
    "PracticeLocationAddressStateName": "AE",
    "PracticeLocationAddressPostalCode": "09550",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "757-534-3448",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/25/2021",
    "LastUpdateDate": "07/22/2022",
    "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": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1710I1002X",
          "TaxonomyName": "Independent Duty Corpsman",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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