Provider Demographics
NPI:1871090001
Name:FLORES, JOSE RIZALDY ROMERO (FNP-C)
Entity type:Individual
Prefix:MR
First Name:JOSE RIZALDY
Middle Name:ROMERO
Last Name:FLORES
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2000 PHYSICIANS BLVD
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-1277
Mailing Address - Country:US
Mailing Address - Phone:661-324-1455
Mailing Address - Fax:661-324-3720
Practice Address - Street 1:2000 PHYSICIANS BLVD
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-1277
Practice Address - Country:US
Practice Address - Phone:661-324-1455
Practice Address - Fax:661-324-3720
Is Sole Proprietor?:No
Enumeration Date:2018-04-13
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA95008889363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA95008889OtherNURSE PRACTITIONER LICENSE