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NPI Code Detail

MEDICARE: LUIS ROQUE FLORES PT

MEDICARE:   LUIS ROQUE FLORES  PT
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
1225100000XPhysical Therapist1842CO

General Provider Information

NPI Number : 1275857518
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUIS ROQUE FLORES PT
Provider Business Mailing Address
First Line : 4031 S NARCISSUS WAY
Second Line :
City : DENVER
State : CO
Zip : 80237-2025
Country : US
Telephone Number : 303-884-4599
Fax Number :
Provider Business Practice Location Address
First Line : 1655 YARROW ST
Second Line :
City : LAKEWOOD
State : CO
Zip : 80214-6030
Country : US
Telephone Number : 303-232-0883
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2010
Last Update Date : 03/16/2010

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Directions to “ LUIS ROQUE FLORES PT” Practice Location

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