Individual provider Active NPI

Glorimar Flores, MS-SLP, RD, LND

  • Speech-Language Pathologist
  • Rio Grande, PR
National Provider Identifier
1851692230
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4481 Issued in PR
Practice address
10309 Calle Rey David
Rio Grande Estates
Rio Grande, PR 00745
Phone
(787) 550-5013
NPI assigned
Nov 16, 2010
Last updated
Oct 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1513 PR
Speech-Language Pathologist 235Z00000X 4481 PR Primary

Addresses

Primary practice location

10309 Calle Rey David
Rio Grande Estates
Rio Grande, PR 00745

Mailing address

10309 Calle Rey David
Rio Grande Estates
Rio Grande, PR 00745
Phone (787) 550-5013

Other practice location 1

calle 15 AA
Alturas de Rio Grande
Rio Grande, PR 00745
Phone (787) 550-5013

Other identifiers 2

IdentifierTypeStateIssuer
1513OtherPRDIETITIAN'S LICENCE
4481OtherPRSPEECH LANGUAGE PATHOLOGIST LICENCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241220003904 PR Practitioner - Qualified Speech Language Pathologist 3375070832 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1513PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Let's Eat and Learn LLC Dietitian, Registered CurrentSince Nov 14, 2024 Accepting new patients

Organizations & group practices 1

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": "1289865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1851692230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10309 CALLE REY DAVID",
            "address_2": "RIO GRANDE ESTATES",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "00745",
            "telephone_number": "787-550-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10309 CALLE REY DAVID",
            "address_2": "RIO GRANDE ESTATES",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "00745",
            "telephone_number": "787-550-5013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "calle 15 AA",
            "address_2": "Alturas de Rio Grande",
            "address_purpose": "LOCATION",
            "city": "Rio Grande",
            "state": "PR",
            "postal_code": "00745",
            "country_code": "US",
            "telephone_number": "787-550-5013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES",
        "first_name": "GLORIMAR",
        "name_prefix": "Mrs.",
        "credential": "MS-SLP, RD, LND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-16",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PR",
            "license": "1513",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "4481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIETITIAN'S LICENCE",
            "identifier": "1513",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH LANGUAGE PATHOLOGIST LICENCE",
            "identifier": "4481",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.