{
"Npi": {
"NPI": "1962871731",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "RIOS VAZQUEZ",
"FirstName": "MARIA",
"MiddleName": "TERESA",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "LND",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "VAZQUEZ",
"OtherFirstName": "MARIA T.",
"OtherMiddleName": "RIOS",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "LND",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "PO BOX 83",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SANTA ISABEL",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00757",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-226-1176",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "8169 CONDOMINIO SAN VICENTE",
"SecondLinePracticeLocationAddress": "SUIT 412 CALLE CONCORDIA",
"PracticeLocationAddressCityName": "PONCE",
"PracticeLocationAddressStateName": "PR",
"PracticeLocationAddressPostalCode": "00717",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-284-5884",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/22/2015",
"LastUpdateDate": "06/03/2018",
"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": "133N00000X",
"TaxonomyName": "Nutritionist",
"LicenseNumber": "1942",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}