Provider Demographics
NPI:1174937445
Name:DR. LUIS FLORES CABAN (HEMATOLOGO ONCOLOGO) CSP
Entity type:Organization
Organization Name:DR. LUIS FLORES CABAN (HEMATOLOGO ONCOLOGO) CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:D
Authorized Official - Last Name:FLORES-CABAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-612-4414
Mailing Address - Street 1:PMB 251
Mailing Address - Street 2:B5 CALLE TABONUCO SUITE 216
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00968-3029
Mailing Address - Country:US
Mailing Address - Phone:787-296-8394
Mailing Address - Fax:888-800-4139
Practice Address - Street 1:AVE PONCE DE LEON # 371
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-1000
Practice Address - Country:US
Practice Address - Phone:787-296-8394
Practice Address - Fax:888-800-4139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-16
Last Update Date:2014-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13480207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRI-12005Medicare UPIN
PRFW308AMedicare PIN