Healthcare Provider Details

I. General information

NPI: 1851685309
Provider Name (Legal Business Name): ERICA FLORES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2011
Last Update Date: 01/21/2025
Certification Date: 01/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1847 E SOUTHERN AVE STE 4
TEMPE AZ
85282-5881
US

IV. Provider business mailing address

1847 E SOUTHERN AVE STE 4
TEMPE AZ
85282-5881
US

V. Phone/Fax

Practice location:
  • Phone: 480-878-4077
  • Fax: 480-498-5269
Mailing address:
  • Phone: 480-878-4077
  • Fax: 480-498-5269

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberR72647
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number52186
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: