Provider Demographics
NPI:1376421982
Name:FLORES OLIVO, EXEL
Entity type:Individual
Prefix:
First Name:EXEL
Middle Name:
Last Name:FLORES OLIVO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 67 BOX 13505 BO. MINILLAS SEC. LOS CRUZ
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956
Mailing Address - Country:US
Mailing Address - Phone:787-949-7559
Mailing Address - Fax:
Practice Address - Street 1:CARRETERA 831 KM 6.0 BO MINILLAS SEC LOS CRUZ
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956-0095
Practice Address - Country:US
Practice Address - Phone:787-949-7559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program