{
"Npi": {
"NPI": "1306130935",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PEDIATRIC & ADULT MEDICAL SERVICE, AMBULANCE INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
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"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 2367",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CANOVANAS",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00729-2367",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-671-9952",
"MailingAddressFaxNumber": "787-762-5161",
"FirstLinePracticeLocationAddress": "CALLE 20 R 1 CIUDAD UNIVERSITARIA",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TRUJILLO ALTO",
"PracticeLocationAddressStateName": "PR",
"PracticeLocationAddressPostalCode": "00976",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-671-9952",
"PracticeLocationAddressFaxNumber": "787-762-5161",
"EnumerationDate": "05/31/2011",
"LastUpdateDate": "07/21/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MARTINEZ",
"AuthorizedOfficialFirstName": "PEDRO",
"AuthorizedOfficialMiddleName": "JUAN",
"AuthorizedOfficialTitle": "AUTHORIZED REPRESENTATIVE",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "E.M.T.",
"AuthorizedOfficialTelephoneNumber": "787-671-9952",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": "2579696",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}