Provider Demographics
NPI:1669455721
Name:FLORES-RIVERA, LUIS G (MD)
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:G
Last Name:FLORES-RIVERA
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:PO BOX 6747
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-6747
Mailing Address - Country:US
Mailing Address - Phone:787-743-8084
Mailing Address - Fax:787-258-0525
Practice Address - Street 1:BALDORIOTY STREET D-1 (ALTOS)
Practice Address - Street 2:URB. PARADIS
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-0000
Practice Address - Country:US
Practice Address - Phone:787-743-8084
Practice Address - Fax:787-258-0525
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8541207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology