Provider Demographics
NPI:1114941440
Name:FLORES, ANGELICA (MD,MPH,CPHQ)
Entity Type:Individual
Prefix:MS
First Name:ANGELICA
Middle Name:
Last Name:FLORES
Suffix:
Gender:F
Credentials:MD,MPH,CPHQ
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 PAPPAS STREET
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041
Mailing Address - Country:US
Mailing Address - Phone:956-795-8100
Mailing Address - Fax:956-795-8135
Practice Address - Street 1:1515 PAPPAS STREET
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041
Practice Address - Country:US
Practice Address - Phone:956-795-8100
Practice Address - Fax:956-795-8135
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH4324207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8204B9Medicare PIN
TXF02301Medicare UPIN