Provider Demographics
NPI:1134112410
Name:SIERRA FLORES, SILVIA M (MD)
Entity Type:Individual
Prefix:DR
First Name:SILVIA
Middle Name:M
Last Name:SIERRA FLORES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4141 CAMINO COYOTE STE B
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88011-7096
Mailing Address - Country:US
Mailing Address - Phone:575-522-1010
Mailing Address - Fax:575-521-0404
Practice Address - Street 1:4141 CAMINO COYOTE STE B
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-7096
Practice Address - Country:US
Practice Address - Phone:575-522-1010
Practice Address - Fax:575-521-0404
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-23
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2002-0108207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM$$$$$$$$$Medicare PIN