{
"Npi": {
"NPI": "1245689413",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "FERNANDEZ RODRIGUEZ",
"FirstName": "JULIO",
"MiddleName": "CESAR",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "M.D",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1 CALLE 12 H-4",
"SecondLineMailingAddress": "JARDINES DE CAYEY",
"MailingAddressCityName": "CAYEY",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00736-4017",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-466-8134",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "CALLE NUNEZ ROMEU",
"SecondLinePracticeLocationAddress": "51",
"PracticeLocationAddressCityName": "CAYEY",
"PracticeLocationAddressStateName": "PR",
"PracticeLocationAddressPostalCode": "00736",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-738-4525",
"PracticeLocationAddressFaxNumber": "787-738-4525",
"EnumerationDate": "06/08/2016",
"LastUpdateDate": "10/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "390200000X",
"TaxonomyName": "Student in an Organized Health Care Education/Training Program",
"LicenseNumber": "32856-R",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "208000000X",
"TaxonomyName": "Pediatrics Physician",
"LicenseNumber": "21436",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "390200000X",
"TaxonomyName": "Student in an Organized Health Care Education/Training Program",
"LicenseNumber": "32267-R",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}