Provider Demographics
NPI:1871575944
Name:CARBOT-FLORES, ELSY (MD)
Entity type:Individual
Prefix:DR
First Name:ELSY
Middle Name:
Last Name:CARBOT-FLORES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1545 SAN REMO AVE
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-3008
Mailing Address - Country:US
Mailing Address - Phone:305-403-4930
Mailing Address - Fax:305-403-4940
Practice Address - Street 1:1545 SAN REMO AVE
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-3008
Practice Address - Country:US
Practice Address - Phone:305-403-4930
Practice Address - Fax:305-403-4940
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL738652085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL262423100Medicaid
H49546Medicare UPIN
FL262423100Medicaid