Provider Demographics
NPI:1811329030
Name:FLORES, JOSE RAMON JR (MD)
Entity type:Individual
Prefix:DR
First Name:JOSE RAMON
Middle Name:
Last Name:FLORES
Suffix:JR
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 1:150 JORALEMON ST
Mailing Address - Street 2:APT. 6F
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-4357
Mailing Address - Country:US
Mailing Address - Phone:718-852-4709
Mailing Address - Fax:
Practice Address - Street 1:150 JORALEMON ST
Practice Address - Street 2:APT. 6F
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-4357
Practice Address - Country:US
Practice Address - Phone:718-852-4709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-30
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY238080208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics