Provider Demographics
NPI:1124003116
Name:HERNANDEZ FLORES, AMAURY (MD)
Entity Type:Individual
Prefix:DR
First Name:AMAURY
Middle Name:
Last Name:HERNANDEZ 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:U19 CALLE LAREDO
Mailing Address - Street 2:VISTA BELLA
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-4829
Mailing Address - Country:US
Mailing Address - Phone:787-786-1031
Mailing Address - Fax:787-251-4518
Practice Address - Street 1:AVE AMERICO MIRANDA
Practice Address - Street 2:#19
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-786-1031
Practice Address - Fax:787-251-4518
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-13
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6750207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRC79797Medicare UPIN