Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 11111 | PR |
NPI | 1215063250 |
---|---|
Provider Name | Dr. Hector Flores Cardona |
First Address | Yauco, PR 00698 |
Second Address | Ponce, PR 00716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2007 |
Last Update Date | 08/07/2007 |