Organization Active NPI

Michael a Flores M.D., P.a

  • Internal Medicine Physician
  • Donna, TX
National Provider Identifier
1609930809
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MICHAEL A FLORES M.D., P.A
Practice address
102 N Salinas Blvd
Suite B
Donna, TX 78537-2926
Phone
(956) 377-5400
Fax
(956) 377-5509
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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

Authorized official

Name
Mrs. Joanne Campos
Title
Administrator
Phone
(956) 377-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

102 N Salinas Blvd
Suite B
Donna, TX 78537-2926

Mailing address

102 N Salinas Blvd
Suite B
Donna, TX 78537-2926
Phone (956) 377-5400

Other identifiers 1

IdentifierTypeStateIssuer
1648495-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040510001272 TX Part B Supplier - Clinic/Group Practice 7517956022 Receives reassigned benefits from 2 practitioners
Practice locations: Donna, TX

National Provider Directory

National Provider Directory

Locations

102 N Salinas Blvd
Ste B
Donna, TX 78537
Phone (956) 377-5400

1416 E Expressway 83
Ste 4
Weslaco, TX 78596
Phone (956) 854-4414

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540425600000",
    "number": "1609930809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N SALINAS BLVD",
            "address_2": "SUITE B",
            "city": "DONNA",
            "state": "TX",
            "postal_code": "785372926",
            "telephone_number": "956-377-5400",
            "fax_number": "956-377-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N SALINAS BLVD",
            "address_2": "SUITE B",
            "city": "DONNA",
            "state": "TX",
            "postal_code": "785372926",
            "telephone_number": "956-377-5400",
            "fax_number": "956-377-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A FLORES M.D., P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2018-10-25",
        "status": "A",
        "authorized_official_last_name": "CAMPOS",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-377-5400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1648495-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Donna, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.