Individual provider Active NPI

Miguel Flores Jr., L.I.S.A.C

  • Addiction (Substance Use Disorder) Counselor
  • Tucson, AZ
National Provider Identifier
1487800850
Registry record updated Aug 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LISAC-10564 Issued in AZ
Practice address
1910 N Painted Hills Rd
Tucson, AZ 85745-1532
Phone
(520) 904-5431
Fax
(520) 207-0677
NPI assigned
Aug 17, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LISAC-10564 AZ Primary

Addresses

Primary practice location

1910 N Painted Hills Rd
Tucson, AZ 85745-1532

Mailing address

1910 N Painted Hills Rd
Tucson, AZ 85745-1532
Phone (520) 904-5431

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
LISAC-10564AZMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1218931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218931200000",
    "number": "1487800850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 N PAINTED HILLS RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857451532",
            "telephone_number": "520-904-5431",
            "fax_number": "520-207-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 N PAINTED HILLS RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857451532",
            "telephone_number": "520-904-5431",
            "fax_number": "520-207-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "MIGUEL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "L.I.S.A.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-17",
        "last_updated": "2008-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-10564",
            "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 Aug 17, 2008; 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.