{
"Npi": {
"NPI": "1447581582",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "OQUENDO",
"FirstName": "REINALDO",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "PH,D A.B.D , PCTFP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PRADERA DEL RIO # 3112",
"SecondLineMailingAddress": "ST. RIO BUCANA",
"MailingAddressCityName": "TOA ALTA",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00953-9111",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-458-0161",
"MailingAddressFaxNumber": "787-799-4148",
"FirstLinePracticeLocationAddress": "ST. 833 KM. 12.4",
"SecondLinePracticeLocationAddress": "BO. LOS FRAILES",
"PracticeLocationAddressCityName": "GUAYNABO",
"PracticeLocationAddressStateName": "PR",
"PracticeLocationAddressPostalCode": "00970",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-790-6448",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/28/2010",
"LastUpdateDate": "01/28/2010",
"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": "103T00000X",
"TaxonomyName": "Psychologist",
"LicenseNumber": "2275",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "2275",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}