=====================================================
General NPI Number Information
=====================================================
NPI Number | 1467303255
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RAMIRO ANTONIO FLORES
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/06/2026
-----------------------------------------------------
Last Update Date | 02/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 643 HWY 314 SUITE 2
-----------------------------------------------------
City | LOS LUNAS
-----------------------------------------------------
State | NM
-----------------------------------------------------
Zip | 87031
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 505-916-7815
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6933 LAMAR AVE NW
-----------------------------------------------------
City | ALBUQUERQUE
-----------------------------------------------------
State | NM
-----------------------------------------------------
Zip | 87120-3568
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 505-236-9874
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 172P00000X
-----------------------------------------------------
Taxonomy Name | Naprapath
-----------------------------------------------------
License Number | DN2025-0001
-----------------------------------------------------
License Number State | NM
-----------------------------------------------------