Provider Demographics
NPI:1306038013
Name:FLORES, FILIBERTO (NMD)
Entity Type:Individual
Prefix:DR
First Name:FILIBERTO
Middle Name:
Last Name:FLORES
Suffix:
Gender:M
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12144 TACOMA RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76244-5541
Mailing Address - Country:US
Mailing Address - Phone:480-227-3750
Mailing Address - Fax:
Practice Address - Street 1:2058 S DOBSON RD
Practice Address - Street 2:SUITE 7
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-6454
Practice Address - Country:US
Practice Address - Phone:480-227-3750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-16
Last Update Date:2011-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ06-931175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath