Provider Demographics
NPI:1568411718
Name:CASTRO-FLORES, PRECIOUS SHERYLL (MD)
Entity Type:Individual
Prefix:
First Name:PRECIOUS
Middle Name:SHERYLL
Last Name:CASTRO-FLORES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 BENEDICTA AVE
Mailing Address - Street 2:STE A
Mailing Address - City:TRINIDAD
Mailing Address - State:CO
Mailing Address - Zip Code:81082-2089
Mailing Address - Country:US
Mailing Address - Phone:719-846-2206
Mailing Address - Fax:719-846-7823
Practice Address - Street 1:400 BENEDICTA AVE
Practice Address - Street 2:STE A
Practice Address - City:TRINIDAD
Practice Address - State:CO
Practice Address - Zip Code:81082-2089
Practice Address - Country:US
Practice Address - Phone:719-846-2206
Practice Address - Fax:719-846-7823
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR0044286207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine