{
"Npi": {
"NPI": "1891328449",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "CORTES HERNANDEZ",
"FirstName": "MARISOL",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "PHARMACIST",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "HN-31 CALLE 254",
"SecondLineMailingAddress": "EXT III COUNTRY CLUB",
"MailingAddressCityName": "CAROLINA",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00982-2635",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-439-0410",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "CARR. #3 KM. 32.9 BO. TRES T",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "RIO GRANDE",
"PracticeLocationAddressStateName": "PR",
"PracticeLocationAddressPostalCode": "00745",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-888-1185",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/21/2020",
"LastUpdateDate": "02/21/2020",
"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": "183500000X",
"TaxonomyName": "Pharmacist",
"LicenseNumber": "4351",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}