Basic Information
| Provider Information | |||||||||
| NPI: | 1124003116 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HERNANDEZ FLORES | ||||||||
| FirstName: | AMAURY | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | U19 CALLE LAREDO | ||||||||
| Address2: | VISTA BELLA | ||||||||
| City: | BAYAMON | ||||||||
| State: | PR | ||||||||
| PostalCode: | 009564829 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877861031 | ||||||||
| FaxNumber: | 7872514518 | ||||||||
| Practice Location | |||||||||
| Address1: | AVE AMERICO MIRANDA | ||||||||
| Address2: | #19 | ||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00926 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877861031 | ||||||||
| FaxNumber: | 7872514518 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/13/2005 | ||||||||
| LastUpdateDate: | 09/03/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 6750 | PR | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.