MEDICARE: MARIA DE LA PAZ FLORES

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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1639692064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA DE LA PAZ FLORES

Provider Business Mailing Address
First Line	:	2445 15TH ST NW APT 315
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20009-4107
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2445 15TH ST NW APT 315
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20009-4107
Country	:	US
Telephone Number	:	571-575-2554
Fax Number	:

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

Provider Enumeration Date	:	07/18/2017
Last Update Date	:	07/18/2017

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Directions to “ MARIA DE LA PAZ FLORES ” Practice Location

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