Provider Demographics
NPI:1225086739
Name:LOPEZ FLORES, HILDA NORA (MD)
Entity Type:Individual
Prefix:
First Name:HILDA
Middle Name:NORA
Last Name:LOPEZ FLORES
Suffix:
Gender:F
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:PO BOX 500
Mailing Address - Street 2:
Mailing Address - City:MERCEDITA
Mailing Address - State:PR
Mailing Address - Zip Code:00715-0500
Mailing Address - Country:US
Mailing Address - Phone:787-841-4232
Mailing Address - Fax:787-284-8045
Practice Address - Street 1:HOSPITAL DAMAS
Practice Address - Street 2:PONCE BY PASS
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00733
Practice Address - Country:US
Practice Address - Phone:787-840-8686
Practice Address - Fax:787-284-8045
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10652207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRLO83132OtherTRIPLE-S