{
"Npi": {
"NPI": "1902017601",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JORGE TORRES",
"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": "8169 CALLE CONCORDIA",
"SecondLineMailingAddress": "CONDOMINIO SAN VICENTE SUITE 1",
"MailingAddressCityName": "PONCE",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00717-1555",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-842-3073",
"MailingAddressFaxNumber": "787-844-8510",
"FirstLinePracticeLocationAddress": "CALLE MUNOZ RIVERA #60",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SANTA ISABEL",
"PracticeLocationAddressStateName": "PR",
"PracticeLocationAddressPostalCode": "00757",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-845-7700",
"PracticeLocationAddressFaxNumber": "787-845-6218",
"EnumerationDate": "05/24/2007",
"LastUpdateDate": "11/25/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TORRES",
"AuthorizedOfficialFirstName": "JORGE",
"AuthorizedOfficialMiddleName": "LUIS",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "787-842-3073",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QR0200X",
"TaxonomyName": "Radiology Clinic/Center",
"LicenseNumber": "9822",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}