Provider Demographics
NPI:1215063250
Name:CARDONA, HECTOR FLORES (MD)
Entity type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:FLORES
Last Name:CARDONA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:HECTOR
Other - Middle Name:FLORS
Other - Last Name:CARDONA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:HOSPILTAL METROPOLITANO DR. TITO MATTEI
Mailing Address - Street 2:KM. 1.0 CARRETERA 128
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698
Mailing Address - Country:US
Mailing Address - Phone:787-267-3814
Mailing Address - Fax:787-267-3814
Practice Address - Street 1:1550 BLVD. STREET MIGUEL A POU APTO # 2803
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716
Practice Address - Country:US
Practice Address - Phone:787-267-3914
Practice Address - Fax:787-267-3814
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR111112080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine