Active NPI
Angelica Rose Martinez Flores
- Behavior Technician
- Waipahu, HI
National Provider Identifier
1225749161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 94-121 Pupukahi St Apt a
Waipahu, HI 96797-2420 - Phone
- (808) 861-1053
- NPI assigned
- Dec 12, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | H01549154 | HI | |
| Behavior Technician | 106S00000X | HI | Primary |
Addresses
Primary practice location
94-121 Pupukahi St Apt a
Waipahu, HI 96797-2420
Mailing address
94-121 Pupukahi St Apt a
Waipahu, HI 96797-2420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H01549154 | HI | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676851200000",
"number": "1225749161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94-121 PUPUKAHI ST APT A",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967972420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-121 PUPUKAHI ST APT A",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967972420",
"telephone_number": "808-861-1053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "ANGELICA ROSE",
"middle_name": "MARTINEZ",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-12",
"last_updated": "2023-02-20",
"certification_date": "2023-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "HI",
"license": "H01549154",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "HI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waipahu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.