Individual provider Active NPI

Omar Anibal Fuentes Flores, M.S.W.

  • Clinical Social Worker
  • San Sebastian, PR
National Provider Identifier
1720356066
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11856 Issued in PR
Practice address
#21 Calle Severo Arana
San Sebastian, PR 00685
Phone
(787) 396-6791
NPI assigned
Dec 1, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11856 PR Primary

Addresses

Primary practice location

#21 Calle Severo Arana
San Sebastian, PR 00685

Mailing address

PO Box 65
San Sebastian, PR 00685-0065

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220902002971 PR Practitioner - Clinical Social Worker 5890179212 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11856PRMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Plenitud Psicoterapia Y Autocuidado LLC Current Accepting new patients
Insight Centro Psicoterapeutico Familiar LLC Clinical CurrentSince Mar 1, 2025 Accepting new patients

Locations

21 Calle Severo Arana
San Sebastian, PR 00685
Phone (787) 396-6791

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1720356066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006850065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#21 CALLE SEVERO ARANA",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "00685",
            "telephone_number": "787-396-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES FLORES",
        "first_name": "OMAR",
        "middle_name": "ANIBAL",
        "name_prefix": "Mr.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-01",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "11856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Sebastian, PR

Sources for this page

Verify at the official NPI Registry.