Active NPI
Socrates Colindres, PTA
- Contractor
- St Petersburg, FL
National Provider Identifier
1972980860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- PTA22849
- Practice address
- 333 5TH St S Apt 2
Saint Petersburg, FL 33701-4447 - Phone
- (727) 656-4935
- NPI assigned
- Apr 30, 2015
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | PTA22849 | FL | Primary |
Addresses
Primary practice location
333 5TH St S Apt 2
Saint Petersburg, FL 33701-4447
Mailing address
333 5TH St S Apt 2
Saint Petersburg, FL 33701-4447
Phone (727) 656-4935
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA22849 | FL | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430352000000",
"number": "1972980860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 5TH ST S APT 2",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337014447",
"telephone_number": "727-656-4935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 5TH ST S APT 2",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337014447",
"telephone_number": "727-656-4935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLINDRES",
"first_name": "SOCRATES",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-30",
"last_updated": "2015-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "FL",
"license": "PTA22849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.