{
"Npi": {
"NPI": "1265534424",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "COTTO HERNANDEZ",
"FirstName": "JOSEFA",
"MiddleName": null,
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "MD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "189 COCO PLUMOROSO",
"SecondLineMailingAddress": "URB BOSQUE DE LAS PALMAS",
"MailingAddressCityName": "BAYAMON",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00959-9250",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-630-3207",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "CALLE 54 SE 1277",
"SecondLinePracticeLocationAddress": "URB LA RIVIERA",
"PracticeLocationAddressCityName": "RIO PIEDRAS",
"PracticeLocationAddressStateName": "PR",
"PracticeLocationAddressPostalCode": "00921",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-781-7512",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/01/2006",
"LastUpdateDate": "10/26/2016",
"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": "14291",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}