Individual provider Active NPI

Eddy Flores de Hostos Sr., MD

  • Cardiovascular Disease Physician
  • San Juan, PR
National Provider Identifier
1326107012
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
5679 Issued in PR
Practice address
De Diego 405
San Juan, PR 00923-3012
Phone
(787) 764-1580
Fax
(787) 766-1858
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 5679 PR Primary

Addresses

Primary practice location

De Diego 405
San Juan, PR 00923-3012

Mailing address

Mirador #80 Paseo Alto
San Juan, PR 00926
Phone (787) 748-7332

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
I20080229000348 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9739263740 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5679PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Acs Group, Corp. CurrentSince Oct 22, 2018 Accepting new patients
North East Cardiology Group LLC Cardiovascular Disease PastSince Jun 14, 2018 Accepting new patients

Organizations & group practices 2

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1326107012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MIRADOR #80 PASEO ALTO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-748-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DE DIEGO 405",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009233012",
            "telephone_number": "787-764-1580",
            "fax_number": "787-766-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES DE HOSTOS",
        "first_name": "EDDY",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "5679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.