{
"Npi": {
"NPI": "1942952742",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "RIOSECO-MARTINEZ",
"FirstName": "CRUCITA",
"MiddleName": "MARIE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MSN",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "GONZALEZ",
"OtherFirstName": "CRUCITA",
"OtherMiddleName": "MARIE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "MSN",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "6148 PARADISE POINT DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PALMETTO BAY",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33157-2643",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "786-218-5605",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "6148 PARADISE POINT DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PALMETTO BAY",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33157-2643",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "786-218-5605",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/22/2022",
"LastUpdateDate": "03/14/2022",
"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": "163W00000X",
"TaxonomyName": "Registered Nurse",
"LicenseNumber": "2846032",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "364SP0809X",
"TaxonomyName": "Adult Psychiatric/Mental Health Clinical Nurse Specialist",
"LicenseNumber": "RN2846032",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "364SC2300X",
"TaxonomyName": "Chronic Care Clinical Nurse Specialist",
"LicenseNumber": "RN2846032",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}