Provider Demographics
NPI:1205904778
Name:COMAS FLORES, FLOREMIL I (MD)
Entity type:Individual
Prefix:DR
First Name:FLOREMIL
Middle Name:
Last Name:COMAS FLORES
Suffix:I
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1959 CALLE LALIZA
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00682-6266
Mailing Address - Country:US
Mailing Address - Phone:787-831-1704
Mailing Address - Fax:787-831-1704
Practice Address - Street 1:1959 CALLE LALIZA
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682-6266
Practice Address - Country:US
Practice Address - Phone:787-831-1704
Practice Address - Fax:787-831-1704
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11588208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR11588OtherSTATUS LICENCE
PR11588OtherSTATUS LICENCE
PR89471Medicare ID - Type Unspecified