{
"Npi": {
"NPI": "1619346483",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "QUINONES",
"FirstName": "ILAINE",
"MiddleName": null,
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "PHARMACY TECHNICIAN",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 645",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CEIBA",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00735-0645",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-556-1718",
"MailingAddressFaxNumber": "787-874-4796",
"FirstLinePracticeLocationAddress": "C7 CALLE 1",
"SecondLinePracticeLocationAddress": "URB. SANTA MARIA",
"PracticeLocationAddressCityName": "CEIBA",
"PracticeLocationAddressStateName": "PR",
"PracticeLocationAddressPostalCode": "00735",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-556-1718",
"PracticeLocationAddressFaxNumber": "787-874-4796",
"EnumerationDate": "09/22/2015",
"LastUpdateDate": "09/22/2015",
"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": "183700000X",
"TaxonomyName": "Pharmacy Technician",
"LicenseNumber": "10321",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}