NPI Code Detail JSON Logo

1619432192 NPI number — JANINE BEATRICE GOZA BORJA MD

NPI Number: 1619432192
Health Care Provider/Practitioner: JANINE BEATRICE GOZA BORJA MD

Information about “1619432192” NPI (JANINE BEATRICE GOZA BORJA MD) exists in 1619432192 in HTML format HTML  |  1619432192 in plain Text format TXT  |  1619432192 in PDF (Portable Document Format) PDF  |  1619432192 in an XML format XML  formats.

NPI Number : 1619432192 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619432192",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BORJA",
    "FirstName": "JANINE BEATRICE",
    "MiddleName": "GOZA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GOZA",
    "OtherFirstName": "JANINE BEATRICE",
    "OtherMiddleName": "JOSE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "8080 EDEN RD APT 158",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EDEN PRAIRIE",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55344-7675",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "612-413-1512",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8201 E RIVERSIDE BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROCKFORD",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "61114-2300",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "815-971-7000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/08/2019",
    "LastUpdateDate": "05/26/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "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": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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