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NPI Code Detail

MEDICARE: ALEC RICHARD FLORES

MEDICARE: ALEC RICHARD FLORES
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
1390200000XStudent in an Organized Health Care Education/Training Program

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740984681
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEC RICHARD FLORES
Provider Business Mailing Address
First Line : 6201 GREENLEIGH AVE
Second Line :
City : MIDDLE RIVER
State : MD
Zip : 21220-2004
Country : US
Telephone Number : 410-933-0000
Fax Number : 410-500-4266
Provider Business Practice Location Address
First Line : 462 GRIDER ST
Second Line :
City : BUFFALO
State : NY
Zip : 14215-3021
Country : US
Telephone Number : 716-898-3941
Fax Number : 716-898-3279
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2023
Last Update Date : 06/17/2026

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Directions to “ ALEC RICHARD FLORES ” Practice Location

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