{
"Npi": {
"NPI": "1518191584",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "FARMACIA ESPINO, INC.",
"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 1346",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GURABO",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00778-1346",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-736-0069",
"MailingAddressFaxNumber": "787-715-2151",
"FirstLinePracticeLocationAddress": "BO ESPINO CARR 181 KM 0.3 RAMAL 745",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SAN LORENZO",
"PracticeLocationAddressStateName": "PR",
"PracticeLocationAddressPostalCode": "00754",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-736-0069",
"PracticeLocationAddressFaxNumber": "787-903-5704",
"EnumerationDate": "05/06/2009",
"LastUpdateDate": "06/14/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PENA",
"AuthorizedOfficialFirstName": "ANGEL",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "787-736-0069",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": "11-F-2720",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}