{
"Npi": {
"NPI": "1194791731",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "TRINIDAD",
"FirstName": "MARTA",
"MiddleName": null,
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "P O BOX 3264",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CAYEY",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00736",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-263-7459",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "C/2 D-16",
"SecondLinePracticeLocationAddress": "URB LA PLANICIE",
"PracticeLocationAddressCityName": "CAYEY",
"PracticeLocationAddressStateName": "PR",
"PracticeLocationAddressPostalCode": "00737",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-263-7459",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/24/2006",
"LastUpdateDate": "03/09/2011",
"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": "208D00000X",
"TaxonomyName": "General Practice Physician",
"LicenseNumber": "10263",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}