Organization Active NPI

Flores Medical Center Inc.

  • Rehabilitation Clinic/Center
  • Tampa, FL
National Provider Identifier
1982990545
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
FLORES MEDICAL CENTER INC.
Practice address
5011 W Hillsborough Ave Ste M
Tampa, FL 33634-5309
Phone
(813) 249-7374
Fax
(813) 249-6969
NPI assigned
Jun 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Authorized official

Name
Damisela Cordero
Title
Manager
Phone
(813) 249-7374

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC8923 FL
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

5011 W Hillsborough Ave Ste M
Tampa, FL 33634-5309

Mailing address

5011 W Hillsborough Ave Ste M
Tampa, FL 33634-5309
Phone (813) 249-7374

Other practice location 1

3550 W Waters Ave Ste 101
Tampa, FL 33614-2767
Phone (813) 877-8918

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210407000153 FL Part B Supplier - Clinic/Group Practice 7911314117 Receives reassigned benefits from 1 practitioner
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

5011 W Hillsborough Ave
Ste M
Tampa, FL 33634
Phone (813) 249-7374

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1982990545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5011 W HILLSBOROUGH AVE STE M",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345309",
            "telephone_number": "813-249-7374",
            "fax_number": "813-249-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5011 W HILLSBOROUGH AVE STE M",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345309",
            "telephone_number": "813-249-7374",
            "fax_number": "813-249-6969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3550 W Waters Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336142767",
            "country_code": "US",
            "telephone_number": "813-877-8918",
            "fax_number": "813-514-2806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLORES MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "CORDERO",
        "authorized_official_first_name": "DAMISELA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-249-7374"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC8923",
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.