Healthcare Provider Details

I. General information

NPI: 1467303255
Provider Name (Legal Business Name): RAMIRO ANTONIO FLORES
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2026
Last Update Date: 02/06/2026
Certification Date: 02/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

643 HWY 314 SUITE 2
LOS LUNAS NM
87031
US

IV. Provider business mailing address

6933 LAMAR AVE NW
ALBUQUERQUE NM
87120-3568
US

V. Phone/Fax

Practice location:
  • Phone: 505-916-7815
  • Fax:
Mailing address:
  • Phone: 505-236-9874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172P00000X
TaxonomyNaprapath
License NumberDN2025-0001
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: