{"npi":"1053091371","type":"NPI-1","status":"active","name":{"display":"Mauricio Tejada Valencia APRN","other":[],"first":"MAURICIO","last":"TEJADA VALENCIA","credential":"APRN"},"specialty":{"primary_taxonomy":"363LG0600X","primary_taxonomy_description":"Gerontology Nurse Practitioner","slug":"gerontology-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LA2100X","description":"Acute Care Nurse Practitioner","primary":false,"state":"FL","license":"11026534"},{"code":"363LG0600X","description":"Gerontology Nurse Practitioner","primary":true,"state":"FL","license":"APRN11026534"}]},"addresses":[{"purpose":"LOCATION","street_1":"1528 DEL PRADO BLVD S","city":"CAPE CORAL","state":"FL","postal_code":"339903798","country_code":"US","phone":"2394583338","fax":"2394580666"},{"purpose":"MAILING","street_1":"2675 WINKLER AVE FL 2","city":"FORT MYERS","state":"FL","postal_code":"339019342","country_code":"US","phone":"8778563774"}],"license":{"state":"FL","number":"APRN11026534"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"119475500","state":"FL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20230914001232","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"FL","pac_id":"7911361647"}]},"enumeration_date":"2023-07-21","last_updated":"2024-08-28","_meta":{"source":"NPPES","snapshot_date":"2024-08-28","doc_url":"https://findmynpi.com/api"}}