Provider Demographics
NPI:1568907640
Name:FLORES, LILIANI I (NURSING)
Entity Type:Individual
Prefix:MRS
First Name:LILIANI
Middle Name:
Last Name:FLORES
Suffix:I
Gender:F
Credentials:NURSING
Other - Prefix:MRS
Other - First Name:LILIANI
Other - Middle Name:
Other - Last Name:FLORES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NURSING
Mailing Address - Street 1:HC 01 BOX 4108
Mailing Address - Street 2:
Mailing Address - City:COAMO
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00769
Mailing Address - Country:UM
Mailing Address - Phone:787-678-2932
Mailing Address - Fax:787-789-6712
Practice Address - Street 1:HC 1 BOX 4108
Practice Address - Street 2:
Practice Address - City:COAMO
Practice Address - State:PR
Practice Address - Zip Code:00769-9101
Practice Address - Country:US
Practice Address - Phone:787-678-2932
Practice Address - Fax:787-789-6712
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-28
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR26840A163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics