{
"Npi": {
"NPI": "1891238481",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MARTINEZ-SANTIBANEZ",
"FirstName": "CUPER",
"MiddleName": null,
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "MD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MARTINEZ SANTIBANEZ",
"OtherFirstName": "CUPER",
"OtherMiddleName": null,
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "MD",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "2965 W 3500 S",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WEST VALLEY CITY",
"MailingAddressStateName": "UT",
"MailingAddressPostalCode": "84119-3602",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "801-965-3600",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3460 S PIONEER PKWY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WEST VALLEY CITY",
"PracticeLocationAddressStateName": "UT",
"PracticeLocationAddressPostalCode": "84120-2049",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "801-783-5011",
"PracticeLocationAddressFaxNumber": "801-746-3734",
"EnumerationDate": "11/30/2016",
"LastUpdateDate": "07/15/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "208M00000X",
"TaxonomyName": "Hospitalist Physician",
"LicenseNumber": "10261485-1205",
"LicenseNumberStateCode": "UT",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "207R00000X",
"TaxonomyName": "Internal Medicine Physician",
"LicenseNumber": "10261485-1205",
"LicenseNumberStateCode": "UT",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}