{
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"IsOrgSubpart": "Y",
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"OrgName": "DRA HILDA RIVERA QUINONES",
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"FirstLineMailingAddress": "CC16 CALLE G",
"SecondLineMailingAddress": "URB SANTA ELENA",
"MailingAddressCityName": "BAYAMON",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00957-1742",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-725-6356",
"MailingAddressFaxNumber": "787-724-3527",
"FirstLinePracticeLocationAddress": "29 CALLE WASHINGTON",
"SecondLinePracticeLocationAddress": "ASHFORD MEDICAL CENTER SUITE 604",
"PracticeLocationAddressCityName": "SANTURCE",
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"PracticeLocationAddressCountryCode": "US",
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"PracticeLocationAddressFaxNumber": "787-724-3527",
"EnumerationDate": "07/27/2007",
"LastUpdateDate": "07/27/2007",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RIVERA QUINONES",
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"AuthorizedOfficialTelephoneNumber": "787-725-6356",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Oncology Clinic/Center",
"LicenseNumber": "12855",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}