{
"Npi": {
"NPI": "1508199092",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CENTRO CARDIOVASCULAR LAS PIEDRAS CSP",
"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": "PO BOX 2017",
"SecondLineMailingAddress": "PMB 586",
"MailingAddressCityName": "LAS PIEDRAS",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00771-2017",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-716-0740",
"MailingAddressFaxNumber": "787-716-0003",
"FirstLinePracticeLocationAddress": "CARR 198 KM 23.6",
"SecondLinePracticeLocationAddress": "BO. COLLORES",
"PracticeLocationAddressCityName": "LAS PIEDRAS",
"PracticeLocationAddressStateName": "PR",
"PracticeLocationAddressPostalCode": "00771-0000",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-716-0740",
"PracticeLocationAddressFaxNumber": "787-716-0003",
"EnumerationDate": "09/15/2009",
"LastUpdateDate": "07/10/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KIDD",
"AuthorizedOfficialFirstName": "OSCAR",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "787-716-0740",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207RC0000X",
"TaxonomyName": "Cardiovascular Disease Physician",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}