Provider Demographics
NPI:1396801734
Name:FLECHAS, ENRIQUE J R (MD)
Entity type:Individual
Prefix:
First Name:ENRIQUE
Middle Name:J R
Last Name:FLECHAS
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 1:9229 BLUEBONNET BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-2808
Mailing Address - Country:US
Mailing Address - Phone:225-215-7498
Mailing Address - Fax:225-922-3788
Practice Address - Street 1:9229 BLUEBONNET BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-2808
Practice Address - Country:US
Practice Address - Phone:225-215-7498
Practice Address - Fax:225-922-3788
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA10545R2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1496651Medicaid
LA5Y600Medicare ID - Type Unspecified
LA1496651Medicaid