Individual provider Active NPI

Sara Ivelisse Flores Negron

  • General Practice Physician
  • Villalba, PR
National Provider Identifier
1225539745
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
19838 Issued in PR
Practice address
Urb Villa Alba
Calle B 32
Villalba, PR 00766-9701
Phone
(787) 477-9473
NPI assigned
Feb 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 19838 PR Primary

Addresses

Primary practice location

Urb Villa Alba
Calle B 32
Villalba, PR 00766-9701

Mailing address

HC 1 Box 3266
Villalba, PR 00766-9710
Phone (787) 477-9473

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
I20200617001213 PR Practitioner - General Practice 4789006925 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19838PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Med Centro, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Med Centro, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Med Centro, Inc. General Practice Current Accepting new patients

Locations

1034 Ave Hostos
Ponce, PR 00716
Phone (787) 242-2279

Interoperability endpoints

  • Direct secure messaging: sara.flores@medcentro.directbygreenway.com

Organizations & group practices 3

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": "1519171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519171200000",
    "number": "1225539745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 3266",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "007669710",
            "telephone_number": "787-477-9473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB VILLA ALBA",
            "address_2": "CALLE B 32",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "007669701",
            "telephone_number": "787-477-9473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES NEGRON",
        "first_name": "SARA",
        "middle_name": "IVELISSE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villalba, PR

Sources for this page

Verify at the official NPI Registry.