Provider Demographics
NPI:1235169624
Name:FLORES-RIVERA, IVONNE (MD)
Entity Type:Individual
Prefix:DR
First Name:IVONNE
Middle Name:
Last Name:FLORES-RIVERA
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:URB. PASEO DE LOS ARTESANOS # 10
Mailing Address - Street 2:
Mailing Address - City:LAS PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00771-0087
Mailing Address - Country:US
Mailing Address - Phone:787-635-4222
Mailing Address - Fax:787-733-5590
Practice Address - Street 1:REPARTO SAN FRANCISCO #6
Practice Address - Street 2:CALLE EUGENIO CESANI
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682-7720
Practice Address - Country:US
Practice Address - Phone:787-635-4222
Practice Address - Fax:787-834-4113
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16403208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice