Provider Demographics
NPI:1437163508
Name:FLORES, BRAULIO (MD)
Entity Type:Individual
Prefix:DR
First Name:BRAULIO
Middle Name:
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 1:63 WOODFIELD RD
Mailing Address - Street 2:
Mailing Address - City:BRIARCLIFF
Mailing Address - State:NY
Mailing Address - Zip Code:10510-1933
Mailing Address - Country:US
Mailing Address - Phone:914-747-0412
Mailing Address - Fax:
Practice Address - Street 1:85 PONDFIELD RD
Practice Address - Street 2:
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-3814
Practice Address - Country:US
Practice Address - Phone:914-961-8500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY223994-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY11023708400OtherRAILROAD MCR
NY260500720OtherMAGNACARE
NY3705930OtherAETNA HMO
NYO739492OtherCIGNA
NY219924601OtherUNITED HEALTHCARE
NY5333768OtherAETNA PPO
NY2239941OtherHIP
NY6C5961OtherHEALTH NET
NY0174622OtherGHI
NYP3400556OtherOXFORD & OXFORD MCR
NY260500720Other1199 NATIONAL BENEFIT FUND
NY683AC1OtherB/C B/S
NY000000119735OtherGHI HMO
NY260500720OtherPOMCO
NY11023708400OtherRAILROAD MCR
NY260500720OtherMAGNACARE