NPI Code Detail JSON Logo

1659706935 NPI number — JUAN EDUARDO MUNOZ OCA M.D.

NPI Number: 1659706935
Health Care Provider/Practitioner: JUAN EDUARDO MUNOZ OCA M.D.

Information about “1659706935” NPI (JUAN EDUARDO MUNOZ OCA M.D.) exists in 1659706935 in HTML format HTML  |  1659706935 in plain Text format TXT  |  1659706935 in PDF (Portable Document Format) PDF  |  1659706935 in an XML format XML  formats.

NPI Number : 1659706935 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659706935",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MUNOZ OCA",
    "FirstName": "JUAN",
    "MiddleName": "EDUARDO",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "12607 SE MILL PLAIN BLVD",
    "SecondLineMailingAddress": "CASCADE PARK MEDICAL OFFICE FAMILY MEDICINE",
    "MailingAddressCityName": "VANCOUVER",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98684-4098",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "360-418-6001",
    "MailingAddressFaxNumber": "360-896-4472",
    "FirstLinePracticeLocationAddress": "12607 SE MILL PLAIN BLVD",
    "SecondLinePracticeLocationAddress": "CASCADE PARK MEDICAL OFFICE FAMILY MEDICINE",
    "PracticeLocationAddressCityName": "VANCOUVER",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98684-4098",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "360-418-6001",
    "PracticeLocationAddressFaxNumber": "360-896-4472",
    "EnumerationDate": "09/05/2013",
    "LastUpdateDate": "08/05/2016",
    "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": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "60654646",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "208D00000X",
          "TaxonomyName": "General Practice Physician",
          "LicenseNumber": "18578",
          "LicenseNumberStateCode": "PR",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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