{
"Npi": {
"NPI": "1760302392",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SALCEDO",
"FirstName": "NITSYA",
"MiddleName": "DEL CARMEN",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "PSICOLOGA",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 942",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "UTUADO",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00641-0942",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-669-5809",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "CARRETERA 123 KM. 54.1 INTERIOR BARRIO SALTO ARRIBA",
"SecondLinePracticeLocationAddress": "SECTOR EL GUANO",
"PracticeLocationAddressCityName": "UTUADO",
"PracticeLocationAddressStateName": "PR",
"PracticeLocationAddressPostalCode": "00641",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-487-5040",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/15/2026",
"LastUpdateDate": "07/15/2026",
"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": "103TH0100X",
"TaxonomyName": "Health Service Psychologist",
"LicenseNumber": "9186",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}