Provider Demographics
NPI:1285608216
Name:FLORES, LUIS D (MD)
Entity type:Individual
Prefix:
First Name:LUIS
Middle Name:D
Last Name:FLORES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:B5 CALLE TABONUCO
Mailing Address - Street 2:SUITE 216 PMB 251
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00968-3029
Mailing Address - Country:US
Mailing Address - Phone:787-756-6999
Mailing Address - Fax:787-765-7880
Practice Address - Street 1:369 CALLE DE DIEGO
Practice Address - Street 2:TORRE SAN FRANCISCO SUITE 202
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00923-3003
Practice Address - Country:US
Practice Address - Phone:787-756-6999
Practice Address - Fax:787-765-7880
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2012-03-09
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Provider Licenses
StateLicense IDTaxonomies
PR13480207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRI-12005Medicare UPIN