Maritza Ivette Flores, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

1290 Issued in PR

Practice address

DD-3 Ramon Luiz Rodriguez Ave.
Flamboyan Gardens
Bayamon, PR 00959

Phone

(787) 787-4360

Fax

(787) 787-4365

NPI assigned

Jan 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Crilomil Corp.

  • Pediatric Dentistry
  • Manati, PR
  • NPI 1548307184
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598816456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 899",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009600899",
            "telephone_number": "787-787-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DD-3 RAMON LUIZ RODRIGUEZ AVE.",
            "address_2": "FLAMBOYAN GARDENS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-787-4360",
            "fax_number": "787-787-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "MARITZA",
        "middle_name": "IVETTE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "1290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Exel Flores Olivo
• Celestino Flores, M.D.
• Enid Flores Sr.
• Maria S Flores, RPH
• Mariangelie Flores, PHARM D
• Nicole Marie Fonseca Feliciano, LPC
• Lillian Fonseca-Rivera, PH.D.
• Johanna Fonseca
• Mary Fonseca, PTA
• Mario Andres Font Garcia, MD

• Dentist in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Dentist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.