Nirma Iris Flores, MT LIC 1894
Individual provider Active NPI Medical Technologist · Morovis, PR
NPI 1124196316 · NPPES record last updated Jan 27, 2009
Key facts
- NPI
- 1124196316
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Technologist 246QM0706X
- License
- 1894 (PR)
- Practice address
- Calle Comercio 14
Morovis, PR 00687 - Phone
- (787) 862-4230
- Fax
- (787) 862-4230
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- No
Other NPIs on the same Medicare enrollment 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090206000066 | PR | Part B Supplier - Independent Clinical Laboratory | 1951465939 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Morovis, PR |
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1894 | PR | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Technologist | 246QM0706X | 1894 | PR | Yes |
Addresses
Primary practice location
Calle Comercio 14
Morovis, PR 00687
Mailing address
PO Box 427
Morovis, PR 00687
Phone (787) 862-4230
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40D0670594 | Other | CLIA # |
Other providers in Morovis, PR
- Edgardo Gonzalez Bianchi
- Farmacia Adriana LLC
- Farmacia Liangie
- Farmacia Lideliz
- Evianmarie Figueroa
- Juliezabeth Garcia
- Gilberto Marrero Fuentes
- Areida Gines Agosto
- Edgardo Gonzalez Bianchi
- Denia E. Gonzalez
All providers in Morovis, PR · Medical Technologist in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.