{
"Npi": {
"NPI": "1336137462",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ARIAS",
"FirstName": "FELIPE",
"MiddleName": "JUAN",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "M.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "ARIAS",
"OtherFirstName": "FELIPE",
"OtherMiddleName": "JUAN",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "MD",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "CONDOMINIO HARBOR PLAZA",
"SecondLineMailingAddress": "105 PASEO CONCEPCION DE GRACIA APTO. 605",
"MailingAddressCityName": "SAN JUAN",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00901-2689",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-508-0177",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "CONDOMINIO HARBOR PLAZA",
"SecondLinePracticeLocationAddress": "105 PASEO CONCEPCION DE GRACIA APTO. 605",
"PracticeLocationAddressCityName": "SAN JUAN",
"PracticeLocationAddressStateName": "PR",
"PracticeLocationAddressPostalCode": "00901-2689",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-508-0177",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/12/2005",
"LastUpdateDate": "04/16/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "2085R0202X",
"TaxonomyName": "Diagnostic Radiology Physician",
"LicenseNumber": "13597",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}