MEDICARE: DR. TORIBIO C FLORES M.D.

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	207Y00000X	Otolaryngology Physician	35044832	OH
2	207YX0602X	Otolaryngic Allergy Physician	35044832	OH
3	207Y00000X	Otolaryngology Physician	35-04-4832	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407857162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TORIBIO C FLORES M.D.

Provider Business Mailing Address
First Line	:	5400 TRANSPORTATION BLVD
Second Line	:	SUITE 8
City	:	GARFIELD HTS
State	:	OH
Zip	:	44125
Country	:	US
Telephone Number	:	216-662-3373
Fax Number	:	216-662-0624

Provider Business Practice Location Address
First Line	:	5400 TRANSPORTATION BLVD
Second Line	:	SUITE 8
City	:	GARFIELD HTS
State	:	OH
Zip	:	44125
Country	:	US
Telephone Number	:	216-662-3373
Fax Number	:	216-662-0624

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

Provider Enumeration Date	:	08/03/2005
Last Update Date	:	09/24/2010

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