{
"Npi": {
"NPI": "1992498166",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MATOS ROMERO",
"FirstName": "ALANYS",
"MiddleName": "NICOLLE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MATOS ROMERO",
"OtherFirstName": "ALANYS",
"OtherMiddleName": "NICOLLE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "ALANYS",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "URB. SANTIAGO CALLE 1 #16 LOIZA P.R. 00772",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LOIZA",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00772",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-674-4021",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "URB. SANTIAGO CALLE 1 #16 LOIZA P.R. 00772",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LOIZA",
"PracticeLocationAddressStateName": "PR",
"PracticeLocationAddressPostalCode": "00772",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-674-4021",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/01/2023",
"LastUpdateDate": "06/01/2023",
"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": "2255A2300X",
"TaxonomyName": "Athletic Trainer",
"LicenseNumber": "6894713",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}