Provider Demographics
NPI:1174376107
Name:FLORES RIVERA, YAIDI MARIE (DC)
Entity type:Individual
Prefix:DR
First Name:YAIDI
Middle Name:MARIE
Last Name:FLORES RIVERA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 HACIENDA CERRO GORDO
Mailing Address - Street 2:
Mailing Address - City:SAN LORENZO
Mailing Address - State:PR
Mailing Address - Zip Code:00754-4542
Mailing Address - Country:US
Mailing Address - Phone:787-371-8482
Mailing Address - Fax:
Practice Address - Street 1:HC 72 BOX 4010
Practice Address - Street 2:
Practice Address - City:NARANJITO
Practice Address - State:PR
Practice Address - Zip Code:00719-8780
Practice Address - Country:US
Practice Address - Phone:787-234-0063
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-09
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR969111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor