MEDICARE: DR. HENRY CUEVAS FLORES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	A68721	CA

General Provider Information

NPI Number	:	1093710071
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HENRY CUEVAS FLORES MD

Provider Business Mailing Address
First Line	:	451 MARCH AVE
Second Line	:	STE B
City	:	HEALDSBURG
State	:	CA
Zip	:	95448-3387
Country	:	US
Telephone Number	:	707-433-8844
Fax Number	:	707-433-8836

Provider Business Practice Location Address
First Line	:	451 MARCH AVE
Second Line	:	STE B
City	:	HEALDSBURG
State	:	CA
Zip	:	95448-3387
Country	:	US
Telephone Number	:	707-433-8844
Fax Number	:	707-433-8836

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	02/11/2022

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