Provider Demographics
NPI:1598936890
Name:FLORES, MILAGROS CORDIAL (MD)
Entity Type:Individual
Prefix:DR
First Name:MILAGROS
Middle Name:CORDIAL
Last Name:FLORES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5515 WHITEHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-3187
Mailing Address - Country:US
Mailing Address - Phone:248-857-3524
Mailing Address - Fax:248-857-3524
Practice Address - Street 1:1251 JOSLYN AVE
Practice Address - Street 2:
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48340-2064
Practice Address - Country:US
Practice Address - Phone:248-857-3524
Practice Address - Fax:248-857-3623
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-14
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301032606207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease