Provider Demographics
NPI:1073589966
Name:FLORES, MARIA I (OD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:I
Last Name:FLORES
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:A-11 JAZMIN URB. DORADO
Mailing Address - Street 2:PO BOX 1823
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00785-1823
Mailing Address - Country:US
Mailing Address - Phone:787-374-3755
Mailing Address - Fax:
Practice Address - Street 1:46 WEST ENRIQUE GONZALEZ
Practice Address - Street 2:
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00784-1823
Practice Address - Country:US
Practice Address - Phone:787-866-2131
Practice Address - Fax:787-866-2131
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR151152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist