Healthcare Provider Details

I. General information

NPI: 1649680935
Provider Name (Legal Business Name): JACQUELINE ROMERO FLORES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2014
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

167 EL DORADO ST
MONTEREY CA
93940-3117
US

IV. Provider business mailing address

PO BOX 10124
SALINAS CA
93912-7124
US

V. Phone/Fax

Practice location:
  • Phone: 831-222-1671
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA146209
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: