Provider Demographics
NPI:1881670586
Name:FLORES, MAGDALENA (MD)
Entity Type:Individual
Prefix:
First Name:MAGDALENA
Middle Name:
Last Name: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 1:800 W JEFFERSON ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-6329
Mailing Address - Country:US
Mailing Address - Phone:956-550-8733
Mailing Address - Fax:956-550-9299
Practice Address - Street 1:800 W JEFFERSON ST STE 210
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-6300
Practice Address - Country:US
Practice Address - Phone:956-550-8733
Practice Address - Fax:866-607-4011
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7154207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG89332OtherUPIN
TXE04110OtherGROUP UPIN
TX085787201Medicaid
TX00U81ZOtherMEDICARE GROUP
TX105107002Medicaid
TX00U81ZOtherMEDICARE GROUP