{
"Npi": {
"NPI": "1386159549",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "RCA GASTRO SERVICES P.S.C",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "305 A SUITE TORRE SAN CRISTOBAL",
"SecondLineMailingAddress": "AVE SAN CRISTOBAL",
"MailingAddressCityName": "COTO LAUREL",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00780",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-717-4010",
"MailingAddressFaxNumber": "787-569-8301",
"FirstLinePracticeLocationAddress": "305A TORRE SAN CRISTOBAL",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "COTO LAUREL",
"PracticeLocationAddressStateName": "PR",
"PracticeLocationAddressPostalCode": "00780-2849",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-717-4010",
"PracticeLocationAddressFaxNumber": "787-569-8301",
"EnumerationDate": "12/11/2017",
"LastUpdateDate": "06/20/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CORDERO ARILL",
"AuthorizedOfficialFirstName": "RAFAEL",
"AuthorizedOfficialMiddleName": "A",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "787-717-4010",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}