Provider Demographics
NPI:1154341659
Name:FLORES, JOHN AMABLE (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:AMABLE
Last Name:FLORES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:115 TECHNOLOGY DR
Mailing Address - Street 2:#A303
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-6337
Mailing Address - Country:US
Mailing Address - Phone:203-268-4884
Mailing Address - Fax:203-268-9371
Practice Address - Street 1:115 TECHNOLOGY DR
Practice Address - Street 2:#A303
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-6337
Practice Address - Country:US
Practice Address - Phone:203-268-4884
Practice Address - Fax:203-268-9371
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2008-03-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT038698207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
2338437OtherAETNA
CT1541597OtherCIGNA
745874OtherCONNECTICARE
010038698CT01OtherBCBS
CTOV7401OtherHEALTHNET
CT00138698111Medicaid
CT00138698111Medicaid