Provider Demographics
NPI:1215349659
Name:FLORES, JUAN MANUEL JR (DO)
Entity type:Individual
Prefix:DR
First Name:JUAN
Middle Name:MANUEL
Last Name:FLORES
Suffix:JR
Gender:M
Credentials:DO
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Mailing Address - Street 1:606 S BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-4906
Mailing Address - Country:US
Mailing Address - Phone:956-682-4515
Mailing Address - Fax:956-662-7587
Practice Address - Street 1:606 S BROADWAY ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-4906
Practice Address - Country:US
Practice Address - Phone:956-682-4515
Practice Address - Fax:956-622-7587
Is Sole Proprietor?:No
Enumeration Date:2014-05-20
Last Update Date:2019-09-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXBP10048769207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXBP10048769OtherPHYSICIAN IN TRAINING