Provider Demographics
NPI:1639315997
Name:FLORES LEBRON, DELIA E (OD)
Entity Type:Individual
Prefix:DR
First Name:DELIA
Middle Name:E
Last Name:FLORES LEBRON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8-37 CALLE MALAGA
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-3132
Mailing Address - Country:US
Mailing Address - Phone:787-617-0258
Mailing Address - Fax:
Practice Address - Street 1:EL MONTE MALL OFICINA 2000
Practice Address - Street 2:
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-764-4848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-16
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOPTO02575152W00000X
PR657152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist