Provider Demographics
NPI:1487921375
Name:FLORES-VELEZ, JUAN CARLOS (CRNA)
Entity type:Individual
Prefix:
First Name:JUAN
Middle Name:CARLOS
Last Name:FLORES-VELEZ
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:JUAN
Other - Middle Name:C
Other - Last Name:FLORES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNA
Mailing Address - Street 1:4214 N DIXIE HWY UNIT 47
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33334-3843
Mailing Address - Country:US
Mailing Address - Phone:787-298-4616
Mailing Address - Fax:
Practice Address - Street 1:501 GLADES RD
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-1419
Practice Address - Country:US
Practice Address - Phone:561-362-4400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-21
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11004364367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty