Healthcare Provider Details

I. General information

NPI: 1487921375
Provider Name (Legal Business Name): JUAN CARLOS FLORES-VELEZ CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: JUAN C FLORES CRNA

II. Dates (important events)

Enumeration Date: 11/21/2011
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 GLADES RD
BOCA RATON FL
33432-1419
US

IV. Provider business mailing address

4214 N DIXIE HWY UNIT 47
OAKLAND PARK FL
33334-3843
US

V. Phone/Fax

Practice location:
  • Phone: 561-362-4400
  • Fax:
Mailing address:
  • Phone: 787-298-4616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN11004364
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: