{
"Npi": {
"NPI": "1699601211",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MEDICA SAN MIGUEL DE COZUMEL INTERNATIONAL BILLING",
"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": "19300 RINALDI ST UNIT 8392",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PORTER RANCH",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91327-8870",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "888-608-0596",
"MailingAddressFaxNumber": "609-710-5338",
"FirstLinePracticeLocationAddress": "CALLE 6 NTE 132, CENTRO",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "COZUMEL",
"PracticeLocationAddressStateName": "QUINTANA ROO",
"PracticeLocationAddressPostalCode": "77600",
"PracticeLocationAddressCountryCode": "MX",
"PracticeLocationAddressTelephoneNumber": null,
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/22/2026",
"LastUpdateDate": "06/22/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DEMARCO",
"AuthorizedOfficialFirstName": "JOAMRIE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "888-608-0596",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "282NC0060X",
"TaxonomyName": "Critical Access Hospital",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}