Provider Demographics
NPI:1225109226
Name:FLORES, HECTOR LUIS (MD)
Entity Type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:LUIS
Last Name: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:URBANIZACION EXTENCION LA RAMBLA CALLE
Mailing Address - Street 2:EXTREMADURA 2005
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00730-2260
Mailing Address - Country:US
Mailing Address - Phone:787-290-1976
Mailing Address - Fax:787-290-1976
Practice Address - Street 1:CALLE VICTORIA NUM. 104 ESQUINA BERTOLY
Practice Address - Street 2:SUITE 101
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00731
Practice Address - Country:US
Practice Address - Phone:787-290-1976
Practice Address - Fax:787-290-1976
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9848174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist