{
"Npi": {
"NPI": "1770731259",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SONRISAS HERMOSAS, CSP",
"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": "PO BOX 1527",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TRUJILLO ALTO",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00977-1527",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-756-6125",
"MailingAddressFaxNumber": "787-756-6125",
"FirstLinePracticeLocationAddress": "CALLE MARGINAL",
"SecondLinePracticeLocationAddress": "ROAD 1 KM. 16.1",
"PracticeLocationAddressCityName": "BAYAMON",
"PracticeLocationAddressStateName": "PR",
"PracticeLocationAddressPostalCode": "00957-2536",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-756-6125",
"PracticeLocationAddressFaxNumber": "787-756-6125",
"EnumerationDate": "09/08/2008",
"LastUpdateDate": "09/08/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PAGAN",
"AuthorizedOfficialFirstName": "ELAINE",
"AuthorizedOfficialMiddleName": "M.",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DMD",
"AuthorizedOfficialTelephoneNumber": "787-756-6125",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "302F00000X",
"TaxonomyName": "Exclusive Provider Organization",
"LicenseNumber": "1865",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}