{
"Npi": {
"NPI": "1790827889",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "A. CORDERO BADILLO ,INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 458",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CATANO",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00963-0458",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-638-8955",
"MailingAddressFaxNumber": "787-715-1771",
"FirstLinePracticeLocationAddress": "183 SAN LORENZO SHOPPING CENTER",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SAN LORENZO",
"PracticeLocationAddressStateName": "PR",
"PracticeLocationAddressPostalCode": "00754",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-715-1770",
"PracticeLocationAddressFaxNumber": "787-715-1771",
"EnumerationDate": "02/13/2007",
"LastUpdateDate": "07/10/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "VALLELLANES",
"AuthorizedOfficialFirstName": "LINNETTE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PHARMACY DIRECTOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RPH",
"AuthorizedOfficialTelephoneNumber": "787-638-8955",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}