Individual provider Active NPI

Efrain M Flores de Hostos, MD

  • Nephrology Physician
  • Mayaguez, PR
National Provider Identifier
1083710164
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
6559 Issued in PR
Practice address
1050 Los Corazones Ave
Suite 102
Mayaguez, PR 00680-7042
Phone
(787) 834-5334
Fax
(787) 833-6640
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 6559 PR Primary

Addresses

Primary practice location

1050 Los Corazones Ave
Suite 102
Mayaguez, PR 00680-7042

Mailing address

1050 Los Corazones Ave
Suite 102
Mayaguez, PR 00680-7042
Phone (787) 834-5334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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
I20041020000310 PR Practitioner - NephrologyPractitioner - Internal Medicine 7517878416 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nefrologos Asociados del Oeste Nephrology CurrentSince Jan 1, 1987 Accepting new patients

Locations

1050 Ave Los Corazones
Ste 102
Mayaguez, PR 00680
Phone (787) 834-5334

Organizations & group practices 1

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083710164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 LOS CORAZONES AVE",
            "address_2": "SUITE 102",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006807042",
            "telephone_number": "787-834-5334",
            "fax_number": "787-833-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 LOS CORAZONES AVE",
            "address_2": "SUITE 102",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006807042",
            "telephone_number": "787-834-5334",
            "fax_number": "787-833-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES DE HOSTOS",
        "first_name": "EFRAIN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "6559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.