Healthcare Provider Details

I. General information

NPI: 1174966576
Provider Name (Legal Business Name): CARMEN ELENA FLORES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2013
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1524 PINTO LN FL 2
LAS VEGAS NV
89106-4195
US

IV. Provider business mailing address

1800 W CHARLESTON BLVD
LAS VEGAS NV
89102-2386
US

V. Phone/Fax

Practice location:
  • Phone: 702-383-3707
  • Fax: 702-383-1982
Mailing address:
  • Phone: 702-383-2620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number18123
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number18123
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: