{
"Npi": {
"NPI": "1033350095",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "CERVANTES",
"FirstName": "CYNTHIA",
"MiddleName": "ANN",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "OTR",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SOLIS",
"OtherFirstName": "CYNTHIA",
"OtherMiddleName": "ANN",
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": "OTR",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "9514 PELON RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BROWNSVILLE",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "78520-9550",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "956-372-3617",
"MailingAddressFaxNumber": "956-350-0946",
"FirstLinePracticeLocationAddress": "801 E ESPERANZA AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MCALLEN",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "78501-1469",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "956-631-5464",
"PracticeLocationAddressFaxNumber": "956-631-4849",
"EnumerationDate": "03/20/2009",
"LastUpdateDate": "03/20/2009",
"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": "225X00000X",
"TaxonomyName": "Occupational Therapist",
"LicenseNumber": "108249",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}