Individual provider Active NPI

Sonia Enid Ortiz Flores, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Fajardo, PR
National Provider Identifier
1982693339
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
10975 Issued in PR
Practice address
410 Ave General Valero
Suite 504
Fajardo, PR 00738-3949
Phone
(787) 863-7100
Fax
(787) 863-1114
NPI assigned
Oct 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 10975 PR Primary

Addresses

Primary practice location

410 Ave General Valero
Suite 504
Fajardo, PR 00738-3949

Mailing address

A2 Via Horizonte
La Vista
San Juan, PR 00924-4460
Phone (787) 484-5549

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050208000023 PR Practitioner - Family PracticePractitioner - Geriatric Medicine 7315998382 Practice locations: Fajardo, PR

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

410 Ave General Valero
Suite 208
Fajardo, PR 00738-3988

Torre Medica 410 Ave General Valero
Suite 208
Fajardo, PR 00738-3988
Phone (787) 863-7100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Pharmacy and Lab Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1982693339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "A2 VIA HORIZONTE",
            "address_2": "LA VISTA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009244460",
            "telephone_number": "787-484-5549",
            "fax_number": "787-863-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 AVE GENERAL VALERO",
            "address_2": "SUITE 504",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007383949",
            "telephone_number": "787-863-7100",
            "fax_number": "787-863-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ FLORES",
        "first_name": "SONIA",
        "middle_name": "ENID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PR",
            "license": "10975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

Verify at the official NPI Registry.