Organization Active NPI

Cfse

  • Family Medicine Physician
  • Carolina, PR
National Provider Identifier
1972704195
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13147 Issued in PR
Legal business name
CFSE
Practice address
Cfse Carr #3, Ave. 65 Infanteria Interseccion Carr 887
Bo. San Anton
Carolina, PR 00986-0858
Phone
(787) 757-6850
Fax
(787) 776-2252
NPI assigned
May 29, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Marita J Flaz, M.D.
Title
M.D.
Phone
(787) 246-4176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 13147 PR Primary

Addresses

Primary practice location

Cfse Carr #3, Ave. 65 Infanteria Interseccion Carr 887
Bo. San Anton
Carolina, PR 00986-0858

Mailing address

PO Box 14522
Bo Obrero Station
San Juan, PR 00916-4522

Other identifiers 1

IdentifierTypeStateIssuer
13147OtherPRSTATE MEDICAL LICENSE NUM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1972704195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14522",
            "address_2": "BO OBRERO STATION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009164522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CFSE CARR #3, AVE. 65 INFANTERIA INTERSECCION CARR 887",
            "address_2": "BO. SAN ANTON",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009860858",
            "telephone_number": "787-757-6850",
            "fax_number": "787-776-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CFSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "FLAZ",
        "authorized_official_first_name": "MARITA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "787-246-4176",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "13147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE NUM",
            "identifier": "13147",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.