{
"Npi": {
"NPI": "1255472247",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "EMPRESAS NUEVA VIDA",
"ParentOrgTIN": null,
"OrgName": "FARMACIA CARLES",
"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": "PO BOX 775",
"SecondLineMailingAddress": "MORSE 80",
"MailingAddressCityName": "ARROYO",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00714-0775",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-271-1313",
"MailingAddressFaxNumber": "787-271-1414",
"FirstLinePracticeLocationAddress": "80 CALLE MORSE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ARROYO",
"PracticeLocationAddressStateName": "PR",
"PracticeLocationAddressPostalCode": "00714-2605",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-271-1313",
"PracticeLocationAddressFaxNumber": "787-271-1414",
"EnumerationDate": "02/11/2007",
"LastUpdateDate": "08/20/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CARLES",
"AuthorizedOfficialFirstName": "EDWIN",
"AuthorizedOfficialMiddleName": "E",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "787-271-1313",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "07F0950",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}