Individual
SOSTENES JOESEPH FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1726 S PRAIRIE AVE, PUEBLO, CO 81005-2253
(719) 561-1291
(719) 561-8660
Mailing address
1726 S PRAIRIE AVE, PUEBLO, CO 81005-2253
(719) 561-1291
(719) 561-8660
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
112076
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112076
CO STATE LICENSE
CO
Enumeration date
04/25/2007
Last updated
03/07/2023
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