{
"Npi": {
"NPI": "1699005447",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LORAN CORP",
"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": "1702 CALLE GARZA",
"SecondLineMailingAddress": "URB BRISAS DEL PRADO",
"MailingAddressCityName": "SANTA ISABEL",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00757-2560",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-845-2000",
"MailingAddressFaxNumber": "787-845-2000",
"FirstLinePracticeLocationAddress": "BO JAUCA 2 SECTOR USERAS",
"SecondLinePracticeLocationAddress": "CARR 153 KM 3 HM 2",
"PracticeLocationAddressCityName": "SANTA ISABEL",
"PracticeLocationAddressStateName": "PR",
"PracticeLocationAddressPostalCode": "00757",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-845-2000",
"PracticeLocationAddressFaxNumber": "787-845-2000",
"EnumerationDate": "12/29/2009",
"LastUpdateDate": "12/29/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GONZALEZ",
"AuthorizedOfficialFirstName": "LORNA",
"AuthorizedOfficialMiddleName": "Y",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "787-677-2000",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": "11-F-2761",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}