{
"Npi": {
"NPI": "1356797377",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JL RIVERA & SONS INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 1853",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GUAYAMA",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00785-1853",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-617-0761",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "PR 3 AVE LOS VETERANOS",
"SecondLinePracticeLocationAddress": "VILLA ROSA III",
"PracticeLocationAddressCityName": "GUAYAMA",
"PracticeLocationAddressStateName": "PR",
"PracticeLocationAddressPostalCode": "00784-1853",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-617-0761",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/09/2016",
"LastUpdateDate": "03/15/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RIVERA IRIZARRY",
"AuthorizedOfficialFirstName": "LAURA",
"AuthorizedOfficialMiddleName": "C",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "787-617-0761",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "291U00000X",
"TaxonomyName": "Clinical Medical Laboratory",
"LicenseNumber": "1357",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}