{
"Npi": {
"NPI": "1154370716",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BELTRAN REHABILITATION CENTER INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "10500 NW 26TH ST STE A102A",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DORAL",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33172-2158",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "305-646-1799",
"MailingAddressFaxNumber": "305-675-7992",
"FirstLinePracticeLocationAddress": "10500 NW 26TH ST STE A102A",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DORAL",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33172-2158",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "305-646-1799",
"PracticeLocationAddressFaxNumber": "305-675-7992",
"EnumerationDate": "05/09/2006",
"LastUpdateDate": "05/19/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SALVADOR",
"AuthorizedOfficialFirstName": "CARMEN",
"AuthorizedOfficialMiddleName": "FERNANDA",
"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "305-223-2771",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM1300X",
"TaxonomyName": "Multi-Specialty Clinic/Center",
"LicenseNumber": "HCC6715",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}