Individual provider Active NPI

Addison Flores, D.M.D.

  • Dentist
  • Cayey, PR
National Provider Identifier
1700937505
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2263 Issued in PR
Practice address
Edificio Michaelangelo Calle Aleli #66
Los Laureles Fullana
Cayey, PR 00736-0000
Phone
(787) 263-8940
Fax
(787) 263-7800
NPI assigned
Jan 16, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2263 PR Primary

Addresses

Primary practice location

Edificio Michaelangelo Calle Aleli #66
Los Laureles Fullana
Cayey, PR 00736-0000

Mailing address

Condominio Altamonte # 100
Carr. 842 Box 86
San Juan, PR 00926-0000
Phone (787) 413-1719

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241021000958 PR Practitioner - Dentist 4183156714 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Neomed Center, Inc. CurrentSince Aug 10, 2024 Accepting new patients
Neomed Center, Inc Current Accepting new patients
Neomed Center, Inc Dentist CurrentSince Aug 10, 2024 Accepting new patients
Oficina Dental Dra Judith Ortiz Past Accepting new patients

Locations

130 Calle Carite
Trujillo Alto, PR 00976
Phone (787) 292-3120

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700937505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CONDOMINIO ALTAMONTE # 100",
            "address_2": "CARR. 842 BOX 86",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009260000",
            "telephone_number": "787-413-1719",
            "fax_number": "787-263-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO MICHAELANGELO CALLE ALELI #66",
            "address_2": "LOS LAURELES FULLANA",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007360000",
            "telephone_number": "787-263-8940",
            "fax_number": "787-263-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "ADDISON",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "2263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

Verify at the official NPI Registry.