Active NPI
Jose F Flaque, M.D.
- Specialist
- Bayamon, PR
National Provider Identifier
1841375375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 6745
- Practice address
- Bayamon Medical Plaza Carretera 2,KM.11.3
Oficina 911
Bayamon, PR 00959 - Phone
- (787) 269-3245
- Fax
- (787) 269-3245
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 6745 | PR | Primary |
Addresses
Primary practice location
Bayamon Medical Plaza Carretera 2,KM.11.3
Oficina 911
Bayamon, PR 00959
Mailing address
1005 Calle Harvard
University GDNS
San Juan, PR 00927-4821
Phone (787) 763-2348
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070427000211 | PR | Practitioner - Nephrology | 3476659061 | Practice locations: Bayamon, PR; Toa Bajo, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6749 | PR | MD | Pharmacist |
| 6745 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841375375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 CALLE HARVARD",
"address_2": "UNIVERSITY GDNS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009274821",
"telephone_number": "787-763-2348",
"fax_number": "787-269-3245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BAYAMON MEDICAL PLAZA CARRETERA 2,KM.11.3",
"address_2": "OFICINA 911",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00959",
"telephone_number": "787-269-3245",
"fax_number": "787-269-3245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLAQUE",
"first_name": "JOSE",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PR",
"license": "6745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.