MEDICARE: EDUARDO B 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	207R00000X	Internal Medicine Physician	D14222	MD

General Provider Information

NPI Number	:	1821081449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDUARDO B FLORES MD

Provider Business Mailing Address
First Line	:	5804 BALTIMORE AVE
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20781-1623
Country	:	US
Telephone Number	:	301-927-7800
Fax Number	:	301-927-0437

Provider Business Practice Location Address
First Line	:	5711 SARVIS AVE
Second Line	:
City	:	RIVERDALE
State	:	MD
Zip	:	20737-1394
Country	:	US
Telephone Number	:	301-864-7444
Fax Number	:	301-864-0712

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

Provider Enumeration Date	:	08/30/2005
Last Update Date	:	05/12/2010

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Directions to “ EDUARDO B FLORES MD” Practice Location

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