MEDICARE: DR. GILBERTO FLORES JR. MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208M00000X	Hospitalist Physician	MD486289	PA
2	207R00000X	Internal Medicine Physician	W0576	TX
3	208M00000X	Hospitalist Physician	W0576	TX

General Provider Information

NPI Number	:	1023698669
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GILBERTO FLORES JR. MD

Provider Business Mailing Address
First Line	:	3500 N BROAD ST RM 1A
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19140-4106
Country	:	US
Telephone Number	:	159-269-0192
Fax Number	:

Provider Business Practice Location Address
First Line	:	7600 CENTRAL AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111-2442
Country	:	US
Telephone Number	:	215-728-2275
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2021
Last Update Date	:	01/08/2026

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