{"npi":"1568087906","type":"NPI-1","status":"active","name":{"display":"Joseph Banuelos Mancilla MD","other":[],"first":"JOSEPH","last":"BANUELOS MANCILLA","middle":"TOBIAS","credential":"MD"},"specialty":{"primary_taxonomy":"390200000X","primary_taxonomy_description":"Student in an Organized Health Care Education/Training Program","slug":"student-in-an-organized-health-care-education-training-program","schema_org_specialty":null,"all":[{"code":"390200000X","description":"Student in an Organized Health Care Education/Training Program","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"4401 PENN AVE STE 7107","city":"PITTSBURGH","state":"PA","postal_code":"152241334","country_code":"US","phone":"4126928614","fax":"4126928614"},{"purpose":"MAILING","street_1":"3600 FORBES AVE STE 14","city":"PITTSBURGH","state":"PA","postal_code":"152133410","country_code":"US","phone":"4126470383"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20200727001923","type_code":"33-02","type_desc":"ORDER AND REFERRING ONLY - GENERAL SURGERY","state":"MN","pac_id":"2466876230"}]},"enumeration_date":"2020-06-11","last_updated":"2025-07-23","_meta":{"source":"NPPES","snapshot_date":"2025-07-23","doc_url":"https://findmynpi.com/api"}}