Active NPI
Florencio Lao Sam, M. D.
- Physical Medicine & Rehabilitation Physician
- Carolina, PR
National Provider Identifier
1295873222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 6959 IN 1983
- Practice address
- Carolina Shopp Ctr
Multipiso of 309 Ave 65 Infanteria
Carolina, PR 00985-5672 - Phone
- (787) 257-1840
- Fax
- (787) 701-4740
- NPI assigned
- Feb 2, 2007
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 6959 IN 1983 | PR | Primary |
Addresses
Primary practice location
Carolina Shopp Ctr
Multipiso of 309 Ave 65 Infanteria
Carolina, PR 00985-5672
Mailing address
138 Ave Winston Churchill PMB 228
San Juan, PR 00926-6013
Phone (787) 257-1840
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110216001117 | PR | Practitioner - Physical Medicine and Rehabilitation | 0042491581 | Practice locations: Carolina, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6959 IN 1983 | PR | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296259200000",
"number": "1295873222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 AVE WINSTON CHURCHILL PMB 228",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009266013",
"telephone_number": "787-257-1840",
"fax_number": "787-701-4740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CAROLINA SHOPP CTR",
"address_2": "MULTIPISO OF 309 AVE 65 INFANTERIA",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009855672",
"telephone_number": "787-257-1840",
"fax_number": "787-701-4740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAO SAM",
"first_name": "FLORENCIO",
"name_prefix": "Dr.",
"credential": "M. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-02",
"last_updated": "2011-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "PR",
"license": "6959 IN 1983",
"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 Jan 29, 2011; 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.