MEDICARE: DR. LUIS G FLORES RIVERA 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	207V00000X	Obstetrics & Gynecology Physician	8541	PR

General Provider Information

NPI Number	:	1669455721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUIS G FLORES RIVERA M.D.

Provider Business Mailing Address
First Line	:	PO BOX 6747
Second Line	:
City	:	CAGUAS
State	:	PR
Zip	:	00726-6747
Country	:	US
Telephone Number	:	787-743-8084
Fax Number	:	787-258-0525

Provider Business Practice Location Address
First Line	:	BALDORIOTY STREET D-1 (ALTOS)
Second Line	:	URB. PARADIS
City	:	CAGUAS
State	:	PR
Zip	:	00725-0000
Country	:	US
Telephone Number	:	787-743-8084
Fax Number	:	787-258-0525

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

Provider Enumeration Date	:	11/22/2005
Last Update Date	:	02/26/2025

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