Provider Demographics
NPI:1730318874
Name:GARCIA FLORES, CARLOS RUBEN (MD)
Entity Type:Individual
Prefix:
First Name:CARLOS
Middle Name:RUBEN
Last Name:GARCIA FLORES
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:RIVER GLANCE DE CAGUAS
Mailing Address - Street 2:4 CARR. 784 APT. 4301
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-6220
Mailing Address - Country:US
Mailing Address - Phone:787-607-2172
Mailing Address - Fax:
Practice Address - Street 1:RIVER GLANCE DE CAGUAS
Practice Address - Street 2:4 CARR. 784 APT. 4301
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727-6220
Practice Address - Country:US
Practice Address - Phone:787-607-2172
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-10
Last Update Date:2009-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17635208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice