MEDICARE: MARIA VICTORIA FLECHA DMD

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	1223G0001X	General Practice Dentistry	DN30878	FL

General Provider Information

NPI Number	:	1356041016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA VICTORIA FLECHA DMD

Provider Business Mailing Address
First Line	:	2842 SW 50TH TER
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33914-6035
Country	:	US
Telephone Number	:	862-238-6397
Fax Number	:

Provider Business Practice Location Address
First Line	:	3330 FORUM BLVD
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33905-5578
Country	:	US
Telephone Number	:	239-241-9128
Fax Number	:

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

Provider Enumeration Date	:	03/09/2023
Last Update Date	:	02/05/2026

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