Provider Demographics
NPI:1013799246
Name:FLORES-CARINO, MARISOL (RN)
Entity Type:Individual
Prefix:
First Name:MARISOL
Middle Name:
Last Name:FLORES-CARINO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:MARISOL
Other - Middle Name:
Other - Last Name:FLORES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:717 WOODCHUCK LN
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-2161
Mailing Address - Country:US
Mailing Address - Phone:732-300-7806
Mailing Address - Fax:
Practice Address - Street 1:717 WOODCHUCK LN
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-2161
Practice Address - Country:US
Practice Address - Phone:732-300-7806
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR13492100163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy