Glyced Flores-Dejesus, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9179 Issued in PR

Practice address

Doctors Medical Pavillion Suite 20
1394 Calle San Rafael
San Juan, PR 00907

Phone

(787) 755-8597

Fax

(787) 755-8597

NPI assigned

May 27, 2005

Last updated

Jul 31, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Primary Medical Center Inc

  • Specialist
  • Ponce, PR
  • NPI 1417927898

  Family Medicine

  Medicare reassignment NPD
• Primary Medical Group,C.S.P.

  • Family Medicine Physician
  • Ponce, PR
  • NPI 1174593545
  Medicare reassignment NPD
• Primary Medical Center, Inc

  • Radiology Clinic/Center
  • Ponce, PR
  • NPI 1598390114
  NPD
• Primary Medical Group, C.S.P.

  • Clinic/Center
  • Ponce, PR
  • NPI 1104216050
  NPD

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185840000000",
    "number": "1215930706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9369",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009889369",
            "telephone_number": "787-755-8597",
            "fax_number": "787-755-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DOCTORS MEDICAL PAVILLION SUITE 20",
            "address_2": "1394 CALLE SAN RAFAEL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-755-8597",
            "fax_number": "787-755-8597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES-DEJESUS",
        "first_name": "GLYCED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2007-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "9179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fabiola Marie Flores Mojica, PSYCHOLOGIST
• Marcos Alejandro Flores Rivera
• Ruben Oreste Flores Sanchez, DC
• Carla M Flores Santiago, MS SLP
• Nashali N Flores Soto, DPT
• Juan Alberto Flores-Gonzalez, M.D.
• Justina Flores-Torres
• Alondra S Flores, PHD
• Ariana Camille Flores
• Beverly M Flores

• Family Medicine Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Family Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.