Manolo Flores III, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN60346573 Issued in WA

Practice address

17404 Ambaum Blvd S Apt 102
Burien, WA 98148-2738

Phone

(206) 354-0912

NPI assigned

Nov 3, 2014

Last updated

Nov 3, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414972800000",
    "number": "1457756454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17837 1ST AVE S # 266",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981481728",
            "telephone_number": "206-354-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17404 AMBAUM BLVD S APT 102",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981482738",
            "telephone_number": "206-354-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "MANOLO",
        "name_suffix": "III",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-03",
        "last_updated": "2014-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60346573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxanne Loree Fisher, LMP
• Ronald Hall Fitzgerald I
• Martha A Fitzpatrick, APNP
• David Flack, LMHC, SUDP
• Courtney Anne Flor, RN
• Maritza Flores
• Shannan L Folino, LMP
• Foot and Ankle Specialists, PLLC
• Dorian Ford, OTRL,CHT
• Lucas Neil Forstie, AACR

• Registered Nurse in Burien, WA
• Providers in Burien, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.