Active NPI
Sebastian Flores Sr.
- Speech-Language Pathologist
- Carolina, PR
National Provider Identifier
1235899899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4348
- Practice address
- Ave. Fragoso Via Leticia 4 Es
Villa Fontana Nivel 1
Carolina, PR 00983 - Phone
- (787) 422-2474
- NPI assigned
- Dec 23, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4348 | PR | Primary |
Addresses
Primary practice location
Ave. Fragoso Via Leticia 4 Es
Villa Fontana Nivel 1
Carolina, PR 00983
Mailing address
M7 Calle 17
Trujillo Alto, PR 00976-3129
Phone (787) 308-1549
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4348 | PR | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Logos Rehab | Single Specialty | Current | Accepting new patients |
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": "1640217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1235899899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "M7 CALLE 17",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009763129",
"telephone_number": "787-308-1549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE. FRAGOSO VIA LETICIA 4 ES",
"address_2": "VILLA FONTANA NIVEL 1",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00983",
"telephone_number": "787-422-2474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "SEBASTIAN",
"name_suffix": "Sr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-12-23",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "4348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.