Provider Demographics
NPI:1730484627
Name:FLORES, PATRICK JOSEPH (DC)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:JOSEPH
Last Name:FLORES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6001 WINTER HAVEN DR NW
Mailing Address - Street 2:SUITE H
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87120-1745
Mailing Address - Country:US
Mailing Address - Phone:505-724-9000
Mailing Address - Fax:505-503-3684
Practice Address - Street 1:6001 WINTER HAVEN DR NW
Practice Address - Street 2:SUITE H
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87120-1745
Practice Address - Country:US
Practice Address - Phone:505-724-9000
Practice Address - Fax:505-503-3684
Is Sole Proprietor?:No
Enumeration Date:2011-01-24
Last Update Date:2012-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1861111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor