Individual provider Active NPI

Serina Marie Flores, M.D.

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1528058203
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L8057 Issued in TX
Practice address
4800 Fredericksburg Rd Ste 127
San Antonio, TX 78229-3781
Phone
(210) 468-0800
NPI assigned
Oct 25, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X L8057 TX
Internal Medicine Physician 207R00000X L8057 TX Primary

Addresses

Primary practice location

4800 Fredericksburg Rd Ste 127
San Antonio, TX 78229-3781

Mailing address

PO Box 29408
San Antonio, TX 78229-0408
Phone (210) 615-1626

Other practice location 1

21604 Cielo Ridge Dr
San Antonio, TX 78256-9604
Phone (210) 683-1329

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L8057TXMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1528058203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29408",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782290408",
            "telephone_number": "210-615-1626",
            "fax_number": "210-615-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 FREDERICKSBURG RD STE 127",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293781",
            "telephone_number": "210-468-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21604 Cielo Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782569604",
            "country_code": "US",
            "telephone_number": "210-683-1329",
            "fax_number": "210-615-1636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES",
        "first_name": "SERINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-25",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "L8057",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L8057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.