Basic Information
| Provider Information | |||||||||
| NPI: | 1609428259 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FLORES | ||||||||
| FirstName: | ARELYS | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 324 CALLE REINA ELIZABETH | ||||||||
| Address2: | |||||||||
| City: | JUANA DIAZ | ||||||||
| State: | PR | ||||||||
| PostalCode: | 007952168 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7872044387 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 388 ZONA IND REPARADA 2 | ||||||||
| Address2: | |||||||||
| City: | PONCE | ||||||||
| State: | PR | ||||||||
| PostalCode: | 007162347 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7878442080 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/14/2019 | ||||||||
| LastUpdateDate: | 07/14/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.