Provider Demographics
NPI:1447200951
Name:FLORES, RAMON E (MD)
Entity Type:Individual
Prefix:
First Name:RAMON
Middle Name:E
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:VIA ALTURAS, K-5
Mailing Address - Street 2:LA VISTA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924
Mailing Address - Country:US
Mailing Address - Phone:787-999-0440
Mailing Address - Fax:787-999-0442
Practice Address - Street 1:PONCE DE LEON AVE. 1801 SANTURCE MEDICAL MALL
Practice Address - Street 2:306
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909
Practice Address - Country:US
Practice Address - Phone:787-999-0440
Practice Address - Fax:787-999-0442
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6564207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0098690Medicare PIN
PRD08788Medicare UPIN