{
"Npi": {
"NPI": "1992097471",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "YANEVERT SERVICES , CORP",
"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": "21130 SW 87TH AVE APT 202",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CUTLER BAY",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33189-7387",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "786-252-2256",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "21130 SW 87TH AVE APT 202",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CUTLER BAY",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33189-7387",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "786-252-2256",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/03/2011",
"LastUpdateDate": "05/03/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FUNDORA",
"AuthorizedOfficialFirstName": "YANELYS",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "THERAPIES",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LMT",
"AuthorizedOfficialTelephoneNumber": "786-252-2256",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QR0401X",
"TaxonomyName": "Comprehensive Outpatient Rehabilitation Facility (CORF)",
"LicenseNumber": "MA58827",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}