Healthcare Provider Details

I. General information

NPI: 1538508304
Provider Name (Legal Business Name): IEHSUS S FLORES-PEREZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2013
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1090 CRANSTON ST
CRANSTON RI
02920-7323
US

IV. Provider business mailing address

PO BOX 1430
HARRISONBURG VA
22803-1430
US

V. Phone/Fax

Practice location:
  • Phone: 401-943-1981
  • Fax:
Mailing address:
  • Phone: 540-564-7100
  • Fax: 757-579-8634

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD17226
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number18867
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: