Individual provider Active NPI

Samagy Laura Tejada-Flores, MD

  • General Practice Physician
  • Aguadilla, PR
National Provider Identifier
1255664595
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17724 Issued in PR
Practice address
703 Belt Road
Aguadilla, PR 00603-0000
Phone
(787) 245-2929
NPI assigned
Sep 17, 2009
Last updated
Feb 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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 17724 PR Primary

Addresses

Primary practice location

703 Belt Road
Aguadilla, PR 00603-0000

Mailing address

124 Calle Wing
Aguadilla, PR 00603-1400
Phone (939) 247-2599

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
I20100624000253 PR Practitioner - General Practice 2567593262 Practice locations: Aguadilla, PR

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1255664595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 CALLE WING",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006031400",
            "telephone_number": "939-247-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 BELT ROAD",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006030000",
            "telephone_number": "787-245-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJADA-FLORES",
        "first_name": "SAMAGY",
        "middle_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-17",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.