Provider Demographics
NPI:1528633575
Name:FLORES, JAIRUS ADRIAN RAMOS (MD)
Entity type:Individual
Prefix:MR
First Name:JAIRUS ADRIAN
Middle Name:RAMOS
Last Name:FLORES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3715 72 STREET APT 48
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372
Mailing Address - Country:US
Mailing Address - Phone:718-334-2156
Mailing Address - Fax:718-334-2862
Practice Address - Street 1:3715 72 STREET APT 48
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372
Practice Address - Country:US
Practice Address - Phone:347-491-8129
Practice Address - Fax:718-334-2862
Is Sole Proprietor?:No
Enumeration Date:2021-05-21
Last Update Date:2023-01-25
Deactivation Date:2022-11-14
Deactivation Code:
Reactivation Date:2023-01-25
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program