MEDICARE: DR. LUIS ANGEL FLORES M.D.

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	207VG0400X	Gynecology Physician	17817	PR
2	207VG0400X	Gynecology Physician	ME177594	FL

General Provider Information

NPI Number	:	1194985036
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUIS ANGEL FLORES M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1596
Second Line	:
City	:	MAYAGUEZ
State	:	PR
Zip	:	00681-1596
Country	:	US
Telephone Number	:	787-652-1836
Fax Number	:	787-652-1836

Provider Business Practice Location Address
First Line	:	AVE. HOSTOS 410, MAYAGUEZ MEDICAL CENTER
Second Line	:	SUITE 109
City	:	MAYAGUEZ
State	:	PR
Zip	:	00680
Country	:	US
Telephone Number	:	787-652-1836
Fax Number	:	787-652-1836

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

Provider Enumeration Date	:	06/13/2008
Last Update Date	:	02/10/2026

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