Provider Demographics
NPI:1619985611
Name:RAYOS, FLORO V (MD)
Entity Type:Individual
Prefix:
First Name:FLORO
Middle Name:V
Last Name:RAYOS
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 1:575 CANTERBURY ST
Mailing Address - Street 2:
Mailing Address - City:GROSSE PTE WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48236
Mailing Address - Country:US
Mailing Address - Phone:313-885-1862
Mailing Address - Fax:
Practice Address - Street 1:11800 EAST TWELVE MILE RD
Practice Address - Street 2:SJMH
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093
Practice Address - Country:US
Practice Address - Phone:810-573-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301030045207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine