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1568386316 NPI number — JOSE CRISTIAN REYES MORTERO

NPI Number: 1568386316
Health Care Provider/Practitioner: JOSE CRISTIAN REYES MORTERO

Information about “1568386316” NPI (JOSE CRISTIAN REYES MORTERO) exists in 1568386316 in HTML format HTML  |  1568386316 in plain Text format TXT  |  1568386316 in PDF (Portable Document Format) PDF  |  1568386316 in an XML format XML  formats.

NPI Number : 1568386316 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1568386316",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "REYES MORTERO",
    "FirstName": "JOSE",
    "MiddleName": "CRISTIAN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "635 N 26TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BILLINGS",
    "MailingAddressStateName": "MT",
    "MailingAddressPostalCode": "59101-1055",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "573-714-6485",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1750 RAY OF HOPE LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BILLINGS",
    "PracticeLocationAddressStateName": "MT",
    "PracticeLocationAddressPostalCode": "59106-3502",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "406-651-2971",
    "PracticeLocationAddressFaxNumber": "406-651-2802",
    "EnumerationDate": "08/05/2026",
    "LastUpdateDate": "08/05/2026",
    "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": "1041S0200X",
        "TaxonomyName": "School Social Worker",
        "LicenseNumber": "BBHSWLCLIC90253",
        "LicenseNumberStateCode": "MT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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