{
"Npi": {
"NPI": "1780976555",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MUNICIPIO DE SAN GERMAN",
"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": "AVE. UNIVERSIDAD INTERAMERICANA #136",
"SecondLineMailingAddress": "PO. BOX 85",
"MailingAddressCityName": "SAN GERMAN",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00683",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-892-5620",
"MailingAddressFaxNumber": "787-892-5710",
"FirstLinePracticeLocationAddress": "CARR. 102 K.M 33.6 URB. SANTA MARIA CALLE GOLONDRINA",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SAN GERMAN",
"PracticeLocationAddressStateName": "PR",
"PracticeLocationAddressPostalCode": "00683",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-892-5620",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/11/2011",
"LastUpdateDate": "11/20/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NEGRON",
"AuthorizedOfficialFirstName": "ISIDRO",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "MAYOR",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "787-892-3500",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "341600000X",
"TaxonomyName": "Ambulance",
"LicenseNumber": "TC-AMB-441",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}