{"npi":"1982305462","type":"NPI-1","status":"active","name":{"display":"Mauricio Miranda PA-C","other":[],"first":"MAURICIO","last":"MIRANDA","middle":"JUNIOR","credential":"PA-C"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"IL","license":"085009878"}]},"addresses":[{"purpose":"LOCATION","street_1":"431 W LIBERTY ST","city":"WAUCONDA","state":"IL","postal_code":"600842452","country_code":"US","phone":"8475262151","fax":"8475262017"},{"purpose":"MAILING","street_1":"PO BOX 6037","city":"WAUCONDA","state":"IL","postal_code":"600846037","country_code":"US","phone":"8475262151","fax":"8475262017"}],"license":{"state":"IL","number":"085009878"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20231101001978","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"IL","pac_id":"3971959669"}]},"enumeration_date":"2023-03-13","last_updated":"2023-09-21","_meta":{"source":"NPPES","snapshot_date":"2023-09-21","doc_url":"https://findmynpi.com/api"}}