{
"Npi": {
"NPI": "1336552215",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DYNAMIC AMBULANCE SERVICES INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 144035",
"SecondLineMailingAddress": "PMB 182",
"MailingAddressCityName": "ARECIBO",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00614-4035",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-327-2955",
"MailingAddressFaxNumber": "787-551-7104",
"FirstLinePracticeLocationAddress": "6523 CARR 2 # KM100.1",
"SecondLinePracticeLocationAddress": "BO SAN JOSE",
"PracticeLocationAddressCityName": "QUEBRADILLAS",
"PracticeLocationAddressStateName": "PR",
"PracticeLocationAddressPostalCode": "00678-2882",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-327-2955",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/09/2014",
"LastUpdateDate": "05/26/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MALDONADO RODRIGUEZ",
"AuthorizedOfficialFirstName": "JESUS",
"AuthorizedOfficialMiddleName": "M",
"AuthorizedOfficialTitle": "PRESIDENTE",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "787-327-2955",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": "TCAMB718",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}