Active NPI
Anthony John Flores, ASL
- Speech-Language Pathologist
- Laguna, NM
National Provider Identifier
1821167636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4283
- Practice address
- I-40 West, Exit 114
Building #1125
Laguna, NM 87026-4611 - Phone
- (505) 552-6008
- Fax
- (505) 552-6398
- NPI assigned
- Nov 7, 2006
- Last updated
- Sep 5, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4283 | NM | Primary |
Addresses
Primary practice location
I-40 West, Exit 114
Building #1125
Laguna, NM 87026-4611
Mailing address
3520 Stetson St SW
Los Lunas, NM 87031-6382
Phone (505) 259-8550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220572800000",
"number": "1821167636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3520 STETSON ST SW",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "870316382",
"telephone_number": "505-259-8550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "I-40 WEST, EXIT 114",
"address_2": "BUILDING #1125",
"city": "LAGUNA",
"state": "NM",
"postal_code": "870264611",
"telephone_number": "505-552-6008",
"fax_number": "505-552-6398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "ANTHONY",
"middle_name": "JOHN",
"credential": "ASL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2008-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "4283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.