Individual provider Active NPI

Keishla Anais Flores Hernandez

  • General Practice Registered Nurse
  • Ponce, PR
National Provider Identifier
1902391253
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
85988 Issued in PR
Practice address
8169 Calle Concordia Suite 412
Condominio San Vicente
Ponce, PR 00717-1567
Phone
(787) 284-5884
Fax
(787) 284-5874
NPI assigned
Jun 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 85988 PR Primary

Addresses

Primary practice location

8169 Calle Concordia Suite 412
Condominio San Vicente
Ponce, PR 00717-1567

Mailing address

8169 Calle Concordia Suite 412
Condominio San Vicente
Ponce, PR 00717-1567
Phone (787) 284-5884

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

State licenses

LicenseStateTypeSpecialty
85988PRMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1902391253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8169 CALLE CONCORDIA SUITE 412",
            "address_2": "CONDOMINIO SAN VICENTE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171567",
            "telephone_number": "787-284-5884",
            "fax_number": "787-284-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8169 CALLE CONCORDIA SUITE 412",
            "address_2": "CONDOMINIO SAN VICENTE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171567",
            "telephone_number": "787-284-5884",
            "fax_number": "787-284-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES HERNANDEZ",
        "first_name": "KEISHLA",
        "middle_name": "ANAIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "PR",
            "license": "85988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.