Healthcare Provider Details

I. General information

NPI: 1215063250
Provider Name (Legal Business Name): HECTOR FLORES CARDONA M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: HECTOR FLORS CARDONA M.D

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 BLVD. STREET MIGUEL A POU APTO # 2803
PONCE PR
00716
US

IV. Provider business mailing address

HOSPILTAL METROPOLITANO DR. TITO MATTEI KM. 1.0 CARRETERA 128
YAUCO PR
00698
US

V. Phone/Fax

Practice location:
  • Phone: 787-267-3914
  • Fax: 787-267-3814
Mailing address:
  • Phone: 787-267-3814
  • Fax: 787-267-3814

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number11111
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: