MEDICARE: DR. SILVIA M SIERRA FLORES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	2002-0108	NM

General Provider Information

NPI Number	:	1134112410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SILVIA M SIERRA FLORES MD

Provider Business Mailing Address
First Line	:	4141 CAMINO COYOTE STE B
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-7096
Country	:	US
Telephone Number	:	575-522-1010
Fax Number	:	575-521-0404

Provider Business Practice Location Address
First Line	:	4141 CAMINO COYOTE STE B
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-7096
Country	:	US
Telephone Number	:	575-522-1010
Fax Number	:	575-521-0404

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	06/22/2010

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