{
"Npi": {
"NPI": "1326144361",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SANTOS",
"FirstName": "GLORIMAR",
"MiddleName": null,
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "M.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "URBANIZACION RIVER GARDEN",
"SecondLineMailingAddress": "STREET #339 CALLE FLOR DE NONO",
"MailingAddressCityName": "CANOVANAS",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00729",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-460-5346",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "410 AVE GENERAL VALERO",
"SecondLinePracticeLocationAddress": "TORRE MEDICA SAN PABLO SUITE 304",
"PracticeLocationAddressCityName": "FAJARDO",
"PracticeLocationAddressStateName": "PR",
"PracticeLocationAddressPostalCode": "00738",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-801-5325",
"PracticeLocationAddressFaxNumber": "787-801-3864",
"EnumerationDate": "09/16/2006",
"LastUpdateDate": "03/17/2025",
"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": "207RC0200X",
"TaxonomyName": "Critical Care Medicine (Internal Medicine) Physician",
"LicenseNumber": "14913",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "207RP1001X",
"TaxonomyName": "Pulmonary Disease Physician",
"LicenseNumber": "14913",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}