Provider Demographics
NPI:1942782487
Name:FLORES, ISABEL CRISTINA (SLPA)
Entity Type:Individual
Prefix:
First Name:ISABEL
Middle Name:CRISTINA
Last Name:FLORES
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:197 WHITE ROCK LOOP
Mailing Address - Street 2:
Mailing Address - City:RIO GRANDE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78582-6611
Mailing Address - Country:US
Mailing Address - Phone:956-655-5040
Mailing Address - Fax:
Practice Address - Street 1:197 WHITE ROCK LOOP
Practice Address - Street 2:
Practice Address - City:RIO GRANDE CITY
Practice Address - State:TX
Practice Address - Zip Code:78582-6611
Practice Address - Country:US
Practice Address - Phone:956-655-5040
Practice Address - Fax:956-416-5009
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-31
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
TX377252355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant
No251E00000XAgenciesHome Health