Individual provider Active NPI

Vincent Merced Flores, PSS

  • Peer Specialist
  • Tucson, AZ
National Provider Identifier
1407493687
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
10586 Issued in AZ
Practice address
1706 E Calle Salamanca
Tucson, AZ 85714-1729
Phone
(520) 591-4189
NPI assigned
Dec 5, 2019
Last updated
Dec 5, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 10586 AZ Primary

Addresses

Primary practice location

1706 E Calle Salamanca
Tucson, AZ 85714-1729

Mailing address

1706 E Calle Salamanca
Tucson, AZ 85714-1729
Phone (520) 591-4189

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10586AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Indigenous Health Coalition LLC Peer Specialist Current Accepting new patients
Native Music Coalition CurrentSince Dec 9, 2019 Accepting new patients
Good Medicene Homes LLC Current Accepting new patients
Native Music Coalition Peer Specialist CurrentSince May 3, 2020 Accepting new patients

Organizations & group practices 4

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": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1407493687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 E CALLE SALAMANCA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857141729",
            "telephone_number": "520-591-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 E CALLE SALAMANCA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857141729",
            "telephone_number": "520-591-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "VINCENT",
        "middle_name": "MERCED",
        "credential": "PSS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "AZ",
            "license": "10586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.