{
"Npi": {
"NPI": "1477235000",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "LOPEZ",
"FirstName": "VERONICA",
"MiddleName": null,
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "MD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 316",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "YAUCO",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00698-0316",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "939-638-6173",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3 CALLE RUFINA",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GUAYANILLA",
"PracticeLocationAddressStateName": "PR",
"PracticeLocationAddressPostalCode": "00656-1813",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "939-638-6173",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/03/2023",
"LastUpdateDate": "10/17/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "208D00000X",
"TaxonomyName": "General Practice Physician",
"LicenseNumber": "16146",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "208D00000X",
"TaxonomyName": "General Practice Physician",
"LicenseNumber": "23461",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}