Individual
JUAN DE DIOS FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY, WORCESTER, MA 01655-0002
(508) 334-3271
(508) 856-5911
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2288498
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110106604A
—
MA
Enumeration date
12/02/2014
Last updated
11/23/2020
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