Individual provider Active NPI

Jaime Jorge Flores, M.D.

  • General Practice Physician
  • Haines City, FL
National Provider Identifier
1043273519
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN 292 Issued in FL
Practice address
141 N 6TH St
Haines City, FL 33844-4207
Phone
(407) 201-7918
Fax
(863) 438-6624
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X ACN292 FL
Clinic/Center 261Q00000X ACN292 FL
General Practice Physician 208D00000X ACN 292 FL Primary
General Practice Physician 208D00000X 13735 PR

Addresses

Primary practice location

141 N 6TH St
Haines City, FL 33844-4207

Mailing address

141 N 6TH St
Haines City, FL 33844-4207
Phone (863) 353-1538

Other identifiers 8

IdentifierTypeStateIssuer
82213OtherPRTRIPLE S
201923OtherPRPREFERRED HEALTH
7140009OtherPRHUMANA HEALTH PLANS
061733OtherPRCRUZ AZUL
115977100MedicaidFL
3281OtherPRAMERICAN HEALTH
400291OtherPRMEDICARE Y MUCHO MAS
JJF210OtherPRMENONITA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121008000636 FL Practitioner - General Practice 2466641626 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

141 N 6TH St
Haines City, FL 33844-4207
Phone (863) 353-1538

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13735PRMDClinical Social Worker
17753PRMDRegistered Nurse
ACN292FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Group Center Inc Single Specialty CurrentSince Aug 29, 2012 Accepting new patients
Florida Urgent Care Center, LLC. Single Specialty CurrentSince Feb 8, 2022 Accepting new patients
Florida Urgent Care Centers, LLC. CurrentSince Feb 8, 2022 Accepting new patients
E M a Med Serv CSP Past Accepting new patients
St. Peter Ambulance Past Accepting new patients
Oficina Medica Dr. Luis Melendez Gomez Single Specialty PastSince Mar 4, 2021 Accepting new patients

Locations

6415 Lake Worth Rd
Ste 302
Greenacres, FL 33463

141 N 6th St
Haines City, FL 33844
Phone (407) 201-7918

3358 W Southport Rd
Kissimmee, FL 34746
Phone (407) 343-0006

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1043273519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 N 6TH ST",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338444207",
            "telephone_number": "863-353-1538",
            "fax_number": "863-438-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 N 6TH ST",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338444207",
            "telephone_number": "407-201-7918",
            "fax_number": "863-438-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGE FLORES",
        "first_name": "JAIME",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN292",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ACN292",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN 292",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13735",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "82213",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH",
            "identifier": "201923",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA HEALTH PLANS",
            "identifier": "7140009",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "061733",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115977100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH",
            "identifier": "3281",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE Y MUCHO MAS",
            "identifier": "400291",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENONITA",
            "identifier": "JJF210",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haines City, FL

Sources for this page

Verify at the official NPI Registry.