{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "MEDICAL FAMILY",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"FirstLineMailingAddress": "PO BOX 1862",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CIDRA",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00739-1862",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-739-6655",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "CARRETERA 173 KM. 6.5",
"SecondLinePracticeLocationAddress": "SECTOR SAN JOSE BARRIO RABANAL",
"PracticeLocationAddressCityName": "CIDRA",
"PracticeLocationAddressStateName": "PR",
"PracticeLocationAddressPostalCode": "00739-1862",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-739-6655",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/10/2016",
"LastUpdateDate": "06/10/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MENDEZ",
"AuthorizedOfficialFirstName": "RUBEN",
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"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "787-739-6655",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM1300X",
"TaxonomyName": "Multi-Specialty Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}