MEDICARE: MARICRUZ FLORES OD

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	152W00000X	Optometrist	11275	TX

General Provider Information

NPI Number	:	1427881804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARICRUZ FLORES OD

Provider Business Mailing Address
First Line	:	13818 CRESTED RISE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78217-1453
Country	:	US
Telephone Number	:	210-571-3023
Fax Number	:

Provider Business Practice Location Address
First Line	:	160 CREEKSIDE WAY
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78130-6396
Country	:	US
Telephone Number	:	830-625-2845
Fax Number	:

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

Provider Enumeration Date	:	08/21/2024
Last Update Date	:	08/21/2024

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Directions to “ MARICRUZ FLORES OD” Practice Location

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