{
"Npi": {
"NPI": "1922597624",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HOSPITAL CEMESA ROATAN INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 578",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FORT BRAGG",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "95437-0578",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "707-472-6762",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "34101 FRENCH HARBOR",
"SecondLinePracticeLocationAddress": "MONTE PLACENTERO",
"PracticeLocationAddressCityName": "ISLAS DE LA BAHIA",
"PracticeLocationAddressStateName": "ROATAN",
"PracticeLocationAddressPostalCode": "00004",
"PracticeLocationAddressCountryCode": "HN",
"PracticeLocationAddressTelephoneNumber": "707-472-6762",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/08/2018",
"LastUpdateDate": "01/29/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CARSON",
"AuthorizedOfficialFirstName": "ALBERTO",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "SECRETARY",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "619-988-6512",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "341600000X",
"TaxonomyName": "Ambulance",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "261QH0100X",
"TaxonomyName": "Health Service Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "261QU0200X",
"TaxonomyName": "Urgent Care Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "3336C0002X",
"TaxonomyName": "Clinic Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "261QE0002X",
"TaxonomyName": "Emergency Care Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}