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NPI Code Detail

MEDICARE: FLORES MEDICAL CORPORATION

MEDICARE: FLORES MEDICAL CORPORATION
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
1174400000XSpecialist20020142NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
173270OTHERPRESBYTERIAN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3NM009953OTHERNMBCBS

General Provider Information

NPI Number : 1558550269
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLORES MEDICAL CORPORATION
Provider Business Mailing Address
First Line : 2902 HILLRISE DR
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-4702
Country : US
Telephone Number : 505-522-5755
Fax Number : 505-521-9385
Provider Business Practice Location Address
First Line : 2902 HILLRISE DR
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-4702
Country : US
Telephone Number : 505-522-5755
Fax Number : 505-521-9385
Authorized Official
Title or Position : PRESIDENT
Name : DR. JOHN A FLORES
Credential : MD
Telephone Number : 505-522-5755
Provider Enumeration Date : 10/18/2007
Last Update Date : 10/18/2007

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Practice Location Address:
2900 HILLRISE DR
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88011-4702
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1194886457 — MARCUS MINER DDS,MS
Practice Location Address:
2918 HILLRISE DR
LAS CRUCES, NM
88011-4702
Practice Phone: 575-522-1760
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1679628622 — DEBORAH LOGAN DBA BIRTH AND BEYOND
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1568517787 — DR. RALPH EDWARD MCELMURRY JR. D.D.S.
Practice Location Address:
2918 HILLRISE DR
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1942355177 — RALPH E. MCELMURRY, DDS, MS, PA
Practice Location Address:
2918 HILLRISE DR
LAS CRUCES, NM
88011-4702
Practice Phone: 505-522-2477
Practice Fax: 505-521-3556

Directions to “FLORES MEDICAL CORPORATION ” Practice Location

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