Healthcare Provider Details

I. General information

NPI: 1649746819
Provider Name (Legal Business Name): RM FLORES MD INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2018
Last Update Date: 07/23/2020
Certification Date: 07/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

296 H ST STE 201
CHULA VISTA CA
91910-4779
US

IV. Provider business mailing address

PO BOX 34082
SAN DIEGO CA
92163-4082
US

V. Phone/Fax

Practice location:
  • Phone: 619-476-9054
  • Fax: 619-476-9056
Mailing address:
  • Phone: 619-271-5551
  • Fax: 619-271-5556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ROCIO M FLORES
Title or Position: OWNER
Credential: MD
Phone: 619-271-5551