Provider Demographics
NPI:1265647408
Name:FLORES, JOSE CRESPO JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:CRESPO
Last Name:FLORES
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:URB. BAIROA GOLDEN GATE STREET C F-2
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727
Mailing Address - Country:US
Mailing Address - Phone:787-258-2302
Mailing Address - Fax:
Practice Address - Street 1:F2 CALLE C
Practice Address - Street 2:CAGUAS PR
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727-1136
Practice Address - Country:US
Practice Address - Phone:787-258-2302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7942173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine