Provider Demographics
NPI:1013367275
Name:ALBINO FLORES, XAVIER IVAN (MD)
Entity Type:Individual
Prefix:DR
First Name:XAVIER
Middle Name:IVAN
Last Name:ALBINO 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 1:2032 COLINAS
Mailing Address - Street 2:DE ALTURAS DE MAYAGUEZ
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00682-6274
Mailing Address - Country:US
Mailing Address - Phone:787-566-1389
Mailing Address - Fax:
Practice Address - Street 1:HOSPITAL DAMAS INC
Practice Address - Street 2:2213 PONCE BY PASS
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717
Practice Address - Country:US
Practice Address - Phone:787-840-8686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-20
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19460208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice