Individual provider Active NPI

Shera Chacon Flores

  • General Practice Physician
  • Caguas, PR
National Provider Identifier
1336755545
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21996 Issued in PR
Practice address
100 Ave Luis Munoz Marin
Caguas, PR 00725-6184
Phone
(787) 653-3434
NPI assigned
Sep 22, 2020
Last updated
Dec 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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 21996 PR Primary

Addresses

Primary practice location

100 Ave Luis Munoz Marin
Caguas, PR 00725-6184

Mailing address

100 Ave Luis Munoz Marin
Caguas, PR 00725-6184
Phone (787) 653-3434

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
I20201230001142 PR Practitioner - General Practice 6406269927 Reassigns benefits to 4 organizations
Practice locations: Caguas, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21996PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Vista Hospital Inc CurrentSince Oct 26, 2020 Accepting new patients
Zenith Health Group LLC CurrentSince Nov 1, 2025 Accepting new patients
Emergency Physician Providers, LLC CurrentSince Oct 5, 2024 Accepting new patients
MM Health Services LLC CurrentSince Oct 18, 2025 Accepting new patients
Centro Medico del Turabo Inc General Practice Current Accepting new patients
Centro Medico del Turabo Inc CurrentSince Oct 26, 2020 Accepting new patients
MM Health Services, LLC. CurrentSince Oct 18, 2025 Accepting new patients
Platinum Emergency Physicians, PSC Past Accepting new patients
Dla Imaging LLC PastSince Sep 17, 2023 Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1336755545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 AVE LUIS MUNOZ MARIN",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007256184",
            "telephone_number": "787-653-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AVE LUIS MUNOZ MARIN",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007256184",
            "telephone_number": "787-653-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACON FLORES",
        "first_name": "SHERA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.