Provider Demographics
NPI:1093710071
Name:FLORES, HENRY CUEVAS (MD)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:CUEVAS
Last Name:FLORES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:451 MARCH AVE
Mailing Address - Street 2:STE B
Mailing Address - City:HEALDSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:95448-3387
Mailing Address - Country:US
Mailing Address - Phone:707-433-8844
Mailing Address - Fax:707-433-8836
Practice Address - Street 1:451 MARCH AVE
Practice Address - Street 2:STE B
Practice Address - City:HEALDSBURG
Practice Address - State:CA
Practice Address - Zip Code:95448-3387
Practice Address - Country:US
Practice Address - Phone:707-433-8844
Practice Address - Fax:707-433-8836
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2022-02-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA68721208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH02795Medicare UPIN
CA00A687210Medicare ID - Type UnspecifiedMEDICARE PROVIDER ID