{"entity":{"entity_id":"da4a24f8-4a12-4850-bf16-cb8cb05446ba","entity_type":"person","display_name":"ALFREDO RAMIREZ","state":"MT","status":"active","merged_into":null,"methodology_version":"entity-graph/v1","created_at":"2026-06-11T01:43:16.470965+00:00","updated_at":"2026-06-11T01:43:16.470965+00:00"},"identifiers":[{"id_scheme":"cms_op_profile_id","id_value":"1132179","source_table":"cms_open_payments","link_method":"exact_npi_in_open_payments","link_confidence":1,"source_evidence":{"npi":"1003829417","rule":"D-OP-NPI","recipient_profile_id":"1132179"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T02:27:30.753163+00:00","recorded_at":"2026-06-13T02:27:30.753163+00:00"},{"id_scheme":"npi","id_value":"1003829417","source_table":"nppes_providers","link_method":"deterministic_pk","link_confidence":1,"source_evidence":{"rule":"D-NPI","source_pk":"1003829417","entity_type_code":"1"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-11T01:43:17.406673+00:00","recorded_at":"2026-06-11T01:43:17.406673+00:00"},{"id_scheme":"pac_id","id_value":"4284630401","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1003829417","rule":"D-PECOS","enrlmt_id":"I20061011000617","pecos_asct_cntl_id":"4284630401"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T18:00:07.724394+00:00","recorded_at":"2026-06-12T18:00:07.724394+00:00"},{"id_scheme":"pecos_enrlmt_id","id_value":"I20061011000617","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1003829417","rule":"D-PECOS","enrlmt_id":"I20061011000617"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T18:00:07.724394+00:00","recorded_at":"2026-06-12T18:00:07.724394+00:00"}],"edges":[{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"caa18caf-ee99-4dd3-8621-3f580a84752a","entity_type":"organization","display_name":"Penumbra, 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":"1003829417","manufacturer_id":"100000010583","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T13:45:21.943156+00:00","recorded_at":"2026-06-13T13:45:21.943156+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"889ae6a2-3123-4e1e-b6ad-d94ae1dbd1c4","entity_type":"organization","display_name":"Ethicon US, LLC","state":"OH"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1003829417","manufacturer_id":"100000061307","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T13:47:58.857407+00:00","recorded_at":"2026-06-13T13:47:58.857407+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"e76c82dc-d066-4606-9e2d-f51600f48e4a","entity_type":"organization","display_name":"Cgg Medical Inc","state":"FL"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1003829417","manufacturer_id":"100000186748","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T18:56:00.871433+00:00","recorded_at":"2026-06-13T18:56:00.871433+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"788b1761-d8a0-41dc-b9c3-2cd765b59754","entity_type":"organization","display_name":"ATRICURE, INC.","state":"OH"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1003829417","manufacturer_id":"100000005372","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T00:50:51.571648+00:00","recorded_at":"2026-06-14T00:50:51.571648+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"7f4a3d28-cb15-4910-94bc-04fb33ac778d","entity_type":"organization","display_name":"ABIOMED","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":"1003829417","manufacturer_id":"100000010740","nature_of_payment":"Travel and Lodging"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T03:29:57.416299+00:00","recorded_at":"2026-06-14T03:29:57.416299+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"878f75ad-4947-4063-b479-7f1f6c19c959","entity_type":"organization","display_name":"LSI SOLUTIONS 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":"1003829417","manufacturer_id":"100000000208","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T04:49:45.969061+00:00","recorded_at":"2026-06-14T04:49:45.969061+00:00"}],"edges_truncated":false,"methodology_version":"entity-graph/v1"}