Provider Demographics
NPI:1487921375
Name:FLORES-VELEZ, JUAN CARLOS (CRNA)
Entity type:Individual
Prefix:
First Name:JUAN
Middle Name:CARLOS
Last Name:FLORES-VELEZ
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BARRIADA BORINQUEN
Mailing Address - Street 2:A-3 #49
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00730-2313
Mailing Address - Country:US
Mailing Address - Phone:787-298-4616
Mailing Address - Fax:
Practice Address - Street 1:PAVIA HOSPITAL
Practice Address - Street 2:1469 ASIA ST.
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909
Practice Address - Country:US
Practice Address - Phone:787-727-6555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-21
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1670367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered