Healthcare Provider Details

I. General information

NPI: 1275379984
Provider Name (Legal Business Name): BAILEY RAY FLORES
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2024
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1871 W ORANGE GROVE RD STE 135
TUCSON AZ
85704-1289
US

IV. Provider business mailing address

4105 W AERIE DR UNIT 43203
TUCSON AZ
85741-0088
US

V. Phone/Fax

Practice location:
  • Phone: 520-382-3050
  • Fax: 520-382-3055
Mailing address:
  • Phone: 719-433-2890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number11645
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: