1881919686 NPI NUMBER - DR. DARLENE FLORES, DC

Summary

NPI Number 1881919686
Entity Type Code Individual
Provider Legal Name DR. DARLENE FLORES, DC
Provider Business Practice Location Address 1261 CALLE 52 SE
SAN JUAN, PR
ZIP 00921
Practice Location Phone Number (617) 406-8247
Provider Taxonomy Code 111N00000X - Chiropractor
Specialization
Provider Enumeration Date 4/5/2010
Last Update Date 10/26/2010

Detailed Information

NPI Number 1881919686 is assigned to an individual registered under the provider name DR. DARLENE FLORES, DC .

The NPPES NPI record indicates the provider is a female.

The provider is physically located at:

1261 CALLE 52 SE
SAN JUAN, PR
ZIP 00921-139
Phone: (617) 406-8247

The enumeration date for this NPI number is 4/5/2010 and was last updated on 10/26/2010 .

Map - Location of Practice

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License Number State
1 111N00000X Chiropractor 03271 MA View Code
2 111N00000X Chiropractor 485 PR View Code

Other (Legacy) Identifiers

The following legacy identifiers for this provider are available:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer

NPI Record

No. Field Name Field Value
1 NPI 1881919686
2 Entity Type Code 1
3 Provider Last Name Legal Name FLORES
4 Provider First Name DARLENE
5 Provider Name Prefix Text DR.
6 Provider Credential Text DC
7 Provider First Line Business Practice Location Address 1261 CALLE 52 SE
8 Provider Business Practice Location Address City Name SAN JUAN
9 Provider Business Practice Location Address State Name PR
10 Provider Business Practice Location Address Postal Code 009213139
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 6174068247
13 Provider Enumeration Date 4/5/2010
14 Last Update Date 10/26/2010
15 Provider Gender Code F
16 Healthcare Provider Taxonomy Code 1 111N00000X
17 Provider License Number 1 03271
18 Provider License Number State Code 1 MA
19 Healthcare Provider Primary Taxonomy Switch 1 N
20 Healthcare Provider Taxonomy Code 2 111N00000X
21 Provider License Number 2 485
22 Provider License Number State Code 2 PR
23 Healthcare Provider Primary Taxonomy Switch 2 Y
24 Is Sole Proprietor Y

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This page was last updated on: 5/14/2013
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