Provider Demographics
NPI:1467215277
Name:FLORES RIVERA, MARCOS ALEJANDRO
Entity Type:Individual
Prefix:
First Name:MARCOS
Middle Name:ALEJANDRO
Last Name:FLORES RIVERA
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 1:48 AVENIDA MUNOZ RIVERA
Mailing Address - Street 2:AQUABLUE APT 2207
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918
Mailing Address - Country:US
Mailing Address - Phone:787-396-0306
Mailing Address - Fax:
Practice Address - Street 1:48 AVENIDA MUNOZ RIVERA
Practice Address - Street 2:AQUABLUE APT 2207
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-396-0306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program