{
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"NamePrefix": null,
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"FirstLineMailingAddress": "2140 W FLAGLER ST STE 201",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MIAMI",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33135-1663",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "305-541-0202",
"MailingAddressFaxNumber": "305-541-0599",
"FirstLinePracticeLocationAddress": "2140 W FLAGLER ST STE 201",
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"PracticeLocationAddressCityName": "MIAMI",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "305-541-0202",
"PracticeLocationAddressFaxNumber": "305-541-0599",
"EnumerationDate": "06/06/2008",
"LastUpdateDate": "06/06/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CRUZ",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "305-262-6540",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QR0208X",
"TaxonomyName": "Mobile Radiology Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}