{
"Npi": {
"NPI": "1225223985",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MARIA C TORRES MD LLC",
"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": "766 COUNTRY CLUB DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TITUSVILLE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32780-4900",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "321-264-1052",
"MailingAddressFaxNumber": "321-264-0778",
"FirstLinePracticeLocationAddress": "766 COUNTRY CLUB DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TITUSVILLE",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32780-4900",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "321-264-1052",
"PracticeLocationAddressFaxNumber": "321-264-0778",
"EnumerationDate": "09/06/2007",
"LastUpdateDate": "10/01/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TORRES",
"AuthorizedOfficialFirstName": "MARIA",
"AuthorizedOfficialMiddleName": "C",
"AuthorizedOfficialTitle": "OWNER/PHYSICIAN",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "321-264-1052",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2300X",
"TaxonomyName": "Primary Care Clinic/Center",
"LicenseNumber": "ME90321",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}