Provider Demographics
NPI:1003014895
Name:FLORES, CARELY M (PHARMACIST TECHNICIA)
Entity Type:Individual
Prefix:MRS
First Name:CARELY
Middle Name:M
Last Name:FLORES
Suffix:
Gender:F
Credentials:PHARMACIST TECHNICIA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:EXT EL COMANDANTE CALLE SAN FERNANDO #266
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00982
Mailing Address - Country:US
Mailing Address - Phone:787-636-7389
Mailing Address - Fax:787-776-1148
Practice Address - Street 1:EXT. EL COMANDANTE
Practice Address - Street 2:CALLE SAN FERNANDO #266
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00982
Practice Address - Country:US
Practice Address - Phone:787-636-7389
Practice Address - Fax:787-776-1148
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRPRUSA3766183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician