{
"Npi": {
"NPI": "1568068195",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HCJ CORPORATION",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 1401",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "RINCON",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00677-1401",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "874-380-6237",
"MailingAddressFaxNumber": "787-823-8404",
"FirstLinePracticeLocationAddress": "CARR 115 KM 8.8 BO CALVACHE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "RINCON",
"PracticeLocationAddressStateName": "PR",
"PracticeLocationAddressPostalCode": "00677",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-823-8400",
"PracticeLocationAddressFaxNumber": "787-823-8404",
"EnumerationDate": "12/09/2020",
"LastUpdateDate": "07/03/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MATOS",
"AuthorizedOfficialFirstName": "JOSE",
"AuthorizedOfficialMiddleName": "J",
"AuthorizedOfficialTitle": "ADMINISTRADOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "787-823-8400",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}