{
"Npi": {
"NPI": "1962594366",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "COLON VILLAFANE",
"FirstName": "JOSE",
"MiddleName": "ANTONIO",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "M:D:",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "STREET 438 KM0.1 DOMINGO RUIZ",
"SecondLineMailingAddress": "HC-01 B0X 4829",
"MailingAddressCityName": "SABANA HOYOS",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00688-9714",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-881-9271",
"MailingAddressFaxNumber": "787-881-9271",
"FirstLinePracticeLocationAddress": "STREET 438 KM0.1 DOMINGO RUIZ",
"SecondLinePracticeLocationAddress": "HC-01 B0X 4829",
"PracticeLocationAddressCityName": "SABANA HOYOS",
"PracticeLocationAddressStateName": "PR",
"PracticeLocationAddressPostalCode": "00688-9714",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-881-9271",
"PracticeLocationAddressFaxNumber": "787-881-9271",
"EnumerationDate": "09/29/2006",
"LastUpdateDate": "12/02/2008",
"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": "208000000X",
"TaxonomyName": "Pediatrics Physician",
"LicenseNumber": "12039",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}