{"entity":{"entity_id":"8a316817-9247-4fdc-9733-b63b85a795c5","entity_type":"person","display_name":"NATALIA GUTIERREZ","state":"TX","status":"active","merged_into":null,"methodology_version":"entity-graph/v1","created_at":"2026-06-11T09:54:52.819948+00:00","updated_at":"2026-06-11T09:54:52.819948+00:00"},"identifiers":[{"id_scheme":"cms_op_profile_id","id_value":"862276","source_table":"cms_open_payments","link_method":"exact_npi_in_open_payments","link_confidence":1,"source_evidence":{"npi":"1538371935","rule":"D-OP-NPI","recipient_profile_id":"862276"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T06:59:32.835037+00:00","recorded_at":"2026-06-13T06:59:32.835037+00:00"},{"id_scheme":"npi","id_value":"1538371935","source_table":"nppes_providers","link_method":"deterministic_pk","link_confidence":1,"source_evidence":{"rule":"D-NPI","source_pk":"1538371935","entity_type_code":"1"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-11T09:54:53.639642+00:00","recorded_at":"2026-06-11T09:54:53.639642+00:00"},{"id_scheme":"pac_id","id_value":"3870657364","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1538371935","rule":"D-PECOS","enrlmt_id":"I20090128000256","pecos_asct_cntl_id":"3870657364"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T18:22:57.73585+00:00","recorded_at":"2026-06-12T18:22:57.73585+00:00"},{"id_scheme":"pecos_enrlmt_id","id_value":"I20090128000256","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1538371935","rule":"D-PECOS","enrlmt_id":"I20090128000256"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T18:22:57.73585+00:00","recorded_at":"2026-06-12T18:22:57.73585+00:00"}],"edges":[{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"0797abb8-23a4-4401-a089-562b3f1b05b1","entity_type":"organization","display_name":"Novo Nordisk Inc","state":"NJ"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1538371935","manufacturer_id":"100000000144","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T15:35:09.819538+00:00","recorded_at":"2026-06-13T15:35:09.819538+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"09393ae7-8267-4853-8195-1801d4ccac46","entity_type":"organization","display_name":"ABBVIE INC.","state":"IL"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1538371935","manufacturer_id":"100000000204","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T18:22:08.165827+00:00","recorded_at":"2026-06-13T18:22:08.165827+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"356b2c4e-26dc-4b2e-af63-ccc4c33b855f","entity_type":"organization","display_name":"AstraZeneca Pharmaceuticals LP","state":"DE"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1538371935","manufacturer_id":"100000000146","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T18:44:12.114673+00:00","recorded_at":"2026-06-13T18:44:12.114673+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"c787707c-71a9-4732-88ec-b980b69fedbe","entity_type":"organization","display_name":"Eisai Inc.","state":"NJ"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1538371935","manufacturer_id":"100000000136","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T20:14:09.160472+00:00","recorded_at":"2026-06-13T20:14:09.160472+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"ef18dc11-f311-4b0b-83e2-1df53f09a039","entity_type":"organization","display_name":"Exact Sciences Corporation","state":"WI"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1538371935","manufacturer_id":"100001341934","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T20:44:14.215548+00:00","recorded_at":"2026-06-13T20:44:14.215548+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"68ebd987-9b4b-489a-83ec-64e9547a83d7","entity_type":"organization","display_name":"Amgen Inc.","state":"CA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1538371935","manufacturer_id":"100000000203","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T20:49:04.463882+00:00","recorded_at":"2026-06-13T20:49:04.463882+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"4bb95475-9c05-4770-9c04-39004ec2ca47","entity_type":"organization","display_name":"GlaxoSmithKline, LLC.","state":"PA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1538371935","manufacturer_id":"100000005449","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T20:59:45.986822+00:00","recorded_at":"2026-06-13T20:59:45.986822+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"7ac62afc-8fdc-4450-86da-6027061eb62c","entity_type":"organization","display_name":"Boehringer Ingelheim Pharmaceuticals, Inc.","state":"CT"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1538371935","manufacturer_id":"100000000234","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T22:17:11.22012+00:00","recorded_at":"2026-06-13T22:17:11.22012+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"721a96a4-8c32-46db-ad63-2d26e19211cb","entity_type":"organization","display_name":"Medtronic, Inc.","state":"MN"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1538371935","manufacturer_id":"100000000106","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T22:35:19.265013+00:00","recorded_at":"2026-06-13T22:35:19.265013+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"df3665c8-48fa-48f6-a7cd-7054551f580c","entity_type":"organization","display_name":"Avvisto Therapeutics, LLC","state":"RI"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1538371935","manufacturer_id":"100001449294","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T22:43:42.648271+00:00","recorded_at":"2026-06-13T22:43:42.648271+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"a0fc8d47-d63f-41f6-b5c6-6656eea19645","entity_type":"organization","display_name":"Abbott Laboratories","state":"IL"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1538371935","manufacturer_id":"100000010680","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T23:16:04.690536+00:00","recorded_at":"2026-06-13T23:16:04.690536+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"cf82f7f5-9f0e-48d6-b2a2-56fbbcc1235b","entity_type":"organization","display_name":"PFIZER INC.","state":"NY"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1538371935","manufacturer_id":"100000000286","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T00:41:12.654871+00:00","recorded_at":"2026-06-14T00:41:12.654871+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"3ed3afb0-ff5e-462b-be5a-e9996826fbe6","entity_type":"organization","display_name":"Azurity Pharmaceuticals, Inc.","state":"MA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1538371935","manufacturer_id":"100000316828","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T01:07:21.278982+00:00","recorded_at":"2026-06-14T01:07:21.278982+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"4fe18420-2258-4e6e-b1a1-3a2d669c382b","entity_type":"organization","display_name":"Lilly USA, LLC","state":"IN"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1538371935","manufacturer_id":"100000000066","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T01:19:20.799326+00:00","recorded_at":"2026-06-14T01:19:20.799326+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"af77e147-a7dd-476c-8821-d21932c1760d","entity_type":"organization","display_name":"Takeda Pharmaceuticals U.S.A., Inc.","state":"MA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1538371935","manufacturer_id":"100000000337","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T02:09:54.046226+00:00","recorded_at":"2026-06-14T02:09:54.046226+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"b19fc3df-bc10-48d5-9730-c0cc09b3112d","entity_type":"organization","display_name":"Astellas Pharma US Inc","state":"IL"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1538371935","manufacturer_id":"100000000137","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T02:29:41.674935+00:00","recorded_at":"2026-06-14T02:29:41.674935+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"0cd197f4-c97b-4267-b54c-cc1ae5691971","entity_type":"organization","display_name":"SANOFI-AVENTIS U.S. LLC","state":"NJ"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1538371935","manufacturer_id":"100000000076","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T02:46:34.390607+00:00","recorded_at":"2026-06-14T02:46:34.390607+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"fff02ddf-93be-4058-b845-b2f600d8d134","entity_type":"organization","display_name":"Merck Sharp & Dohme LLC","state":"NJ"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1538371935","manufacturer_id":"100000000053","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T03:24:50.424433+00:00","recorded_at":"2026-06-14T03:24:50.424433+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"fd3c2749-8925-4881-b0ff-a50346cb3479","entity_type":"organization","display_name":"Sumitomo Pharma America, Inc.","state":"MA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1538371935","manufacturer_id":"100001316929","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T05:07:54.419376+00:00","recorded_at":"2026-06-14T05:07:54.419376+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"5971fd2f-2c81-40d6-b71d-31eaa35c79f0","entity_type":"organization","display_name":"Dexcom, Inc.","state":"CA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1538371935","manufacturer_id":"100000010478","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T06:07:54.745853+00:00","recorded_at":"2026-06-14T06:07:54.745853+00:00"}],"edges_truncated":false,"methodology_version":"entity-graph/v1"}