Provider Demographics
NPI:1821160060
Name:FLOREZ, RICARDO LUIS (DC)
Entity Type:Individual
Prefix:DR
First Name:RICARDO
Middle Name:LUIS
Last Name:FLOREZ
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 1:8321 SIX FORKS RD STE 101
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-2109
Mailing Address - Country:US
Mailing Address - Phone:919-845-5553
Mailing Address - Fax:919-845-5505
Practice Address - Street 1:8321 SIX FORKS RD STE 101
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-2109
Practice Address - Country:US
Practice Address - Phone:919-845-5553
Practice Address - Fax:919-845-5505
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2988111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor