Provider Demographics
NPI:1376886259
Name:FLORES, INTI (MD)
Entity type:Individual
Prefix:
First Name:INTI
Middle Name:
Last Name:FLORES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:550 WATER ST STE D2
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-4129
Mailing Address - Country:US
Mailing Address - Phone:831-216-6515
Mailing Address - Fax:831-480-1374
Practice Address - Street 1:550 WATER ST STE D2
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-4129
Practice Address - Country:US
Practice Address - Phone:831-216-6515
Practice Address - Fax:831-480-1374
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-29
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA1342192084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry