Individual provider Active NPI

Noelia Flores de Jesus, MD

  • Internal Medicine Physician
  • Ponce, PR
National Provider Identifier
1780242990
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21815 Issued in PR
Practice address
Carretera PR 506 KM 1.0 Coto Laurel
Ponce, PR 00780
Phone
(787) 848-2100
NPI assigned
Jun 3, 2019
Last updated
Aug 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 21815 PR Primary

Addresses

Primary practice location

Carretera PR 506 KM 1.0 Coto Laurel
Ponce, PR 00780

Mailing address

Urb Bairoa Golden Gate I
C C F-2
Caguas, PR 00727
Phone (787) 315-5855

Other practice location 1

PR2 Km 174.3 Calle Luna 41
Bo Cain Alto Hospital la Concepcion
San German, PR 00683
Phone (787) 892-1680 ext. 2600

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220712000894 PR Practitioner - Internal Medicine 4385024025 Reassigns benefits to 2 organizations
Practice locations: Mayaguez, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
San Juan Bautista School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 Calle Font Martelo
Humacao, PR 00791-3230
Phone (787) 315-5855

Urb El Recreo
Suite 44
Humacao, PR 00791
Phone (787) 988-1994

Urb Reparto Mendoza
Bloque B3 Carr 924
Humacao, PR 00791
Phone (787) 988-1994

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21815PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A Plus Primary Care LLC Internal Medicine CurrentSince Jun 21, 2023 Accepting new patients
Primary Internal Med LLC Internal Medicine CurrentSince Feb 1, 2023 Accepting new patients
Hospital Menonita Humacao Inc Past Accepting new patients

Locations

300 Calle Font Martelo
Humacao, PR 00791
Phone (787) 315-5855

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1780242990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB BAIROA GOLDEN GATE I",
            "address_2": "C C F-2",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00727",
            "telephone_number": "787-315-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA PR 506 KM 1.0 COTO LAUREL",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "787-848-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PR2 Km 174.3 Calle Luna 41",
            "address_2": "Bo Cain Alto Hospital la Concepcion",
            "address_purpose": "LOCATION",
            "city": "San German",
            "state": "PR",
            "postal_code": "00683",
            "country_code": "US",
            "telephone_number": "787-892-1680 x2600",
            "fax_number": "787-264-7908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES DE JESUS",
        "first_name": "NOELIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-03",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "21815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.