{
"Npi": {
"NPI": "1770784662",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ECHEVARRIA",
"FirstName": "ANNETTE",
"MiddleName": "T.",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "OTA",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "ECHEVARRIA",
"OtherFirstName": "ANNETTE",
"OtherMiddleName": "T.",
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": "OTA",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "CARR174 URB.BRISAS DE PALMASOLA CALLE 5 CASA G-9",
"SecondLineMailingAddress": "HC-03 BOX 16080",
"MailingAddressCityName": "AGUAS BUENAS",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00703",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-299-9648",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "CARR174 URB.BRISAS DE PALMASOLA CALLE 5 CASA G-9",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "AGUAS BUENAS",
"PracticeLocationAddressStateName": "PR",
"PracticeLocationAddressPostalCode": "00703",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-299-9648",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/30/2007",
"LastUpdateDate": "07/08/2007",
"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": "247200000X",
"TaxonomyName": "Other Technician",
"LicenseNumber": "OTA 662",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}