{
"Npi": {
"NPI": "1699946293",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "LATINO-FELIZ",
"FirstName": "ARACELLY",
"MiddleName": "ROSARIO",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "P.T.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "LATINO",
"OtherFirstName": "ARACELLY",
"OtherMiddleName": null,
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": "P.T.",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "10368 W STATE ROAD 84 STE 104",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DAVIE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33324-4242",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "954-591-4278",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "10368 W STATE ROAD 84 STE 104",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DAVIE",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33324-4242",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "954-591-4278",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/21/2008",
"LastUpdateDate": "04/16/2020",
"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": "225100000X",
"TaxonomyName": "Physical Therapist",
"LicenseNumber": "36870",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "225100000X",
"TaxonomyName": "Physical Therapist",
"LicenseNumber": "PT23903",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}